ROSA VERDE FAMILY HEALTH GROUP NPI 1588774582

NPI Information

  • NPI: 1588774582
  • Provider Name: ROSA VERDE FAMILY HEALTH GROUP
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: ROSA VERDE BEHAVIORAL HEALTH
  • Address: 1207 BROOKLYN AVE
    SAN ANTONIO, TX
    ZIP 78212
  • Phone: (210) 472-2090

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NPI Details

ROSA VERDE FAMILY HEALTH GROUP is a mental health counselor in San Antonio, TX. ROSA VERDE FAMILY HEALTH GROUP NPI is 1588774582. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rosa Verde Behavioral Health.

The provider's business location address is:

1207 BROOKLYN AVE
SAN ANTONIO, TX
ZIP 78212-804
Phone: (210) 472-2090
Fax: (210) 472-2062

The provider's authorized official is Maria De Lourdes Pizana .
The authorized official title is Executive Director and has the following contact phone number (210) 472-2090.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes
2103TC0700XPsychologistClinicalX
3103T00000XPsychologistX
41041C0700XSocial WorkerClinicalX
5106H00000XMarriage & Family TherapistX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
174BHOTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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