NATIVE LIFE NPI 1639552383

NPI Information

  • NPI: 1639552383
  • Provider Name: NATIVE LIFE
  • Classification: Counselor - 101YP1600X
  • Specialization: Pastoral
  • Entity Type: Organization
  • Address: 2017 W MULBERRY AVE
    SAN ANTONIO, TX
    ZIP 78201
  • Phone: (210) 606-1710

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NPI Details

NATIVE LIFE is a pastoral counselor in San Antonio, TX. NATIVE LIFE NPI is 1639552383. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2017 W MULBERRY AVE
SAN ANTONIO, TX
ZIP 78201-957
Phone: (210) 606-1710

The provider's authorized official is Mark Baez .
The authorized official title is Mental Health Practitioner/ed. Psyc and has the following contact phone number (210) 606-1710.

The enumeration date for this NPI number is 6/30/2015 and was last updated on 6/30/2015.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)8472TEXASNo
2103T00000XPsychologist3556573ARIZONANo
3390200000XStudent in an Organized Health Care Education/Training Program3556573ARIZONANo
4101YP1600XCounselorPastoralYes

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: 11/21/2025

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