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OUR LADY OF THE LAKE UNIVERSITY NPI 1588823199


NPI Information

NPI: 1588823199
Provider Name: OUR LADY OF THE LAKE UNIVERSITY

Doing Business As: COMMUNITY COUNSELING SERVICE

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
590 N GENERAL MCMULLEN
3
SAN ANTONIO, TX
ZIP 78228
Phone: (210) 434-1054
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OUR LADY OF THE LAKE UNIVERSITY is a professional counselor in San Antonio, TX. OUR LADY OF THE LAKE UNIVERSITY NPI is 1588823199. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Community Counseling Service.

The provider's business location address is:

590 N GENERAL MCMULLEN
3
SAN ANTONIO, TX
ZIP 78228-205
Phone: (210) 434-1054
Fax: (210) 434-1380

The provider's authorized official is Bernadette H Solorzano .
The authorized official title is Clinic Director and has the following contact phone number (210) 434-1054.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 6/9/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional62520TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1144674201MEDICAIDTEXAS

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

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