ROSA VERDE FAMILY HEALTH GROUP NPI 1588774582

NPI Information

NPI: 1588774582
Provider Name: ROSA VERDE FAMILY HEALTH GROUP

Doing Business As: ROSA VERDE BEHAVIORAL HEALTH

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1207 BROOKLYN AVE
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 472-2090
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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	Primary
1	101YM0800X	Counselor	Mental Health	Yes
2	103TC0700X	Psychologist	Clinical	X
3	103T00000X	Psychologist		X
4	1041C0700X	Social Worker	Clinical	X
5	106H00000X	Marriage & Family Therapist		X

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
1	74BH	OTHER	TEXAS	BLUE 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: 4/28/2024

NPI Synchronization or Removal

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