ELISA MEDELLIN LPC NPI 1669833075

NPI Information

NPI: 1669833075
Provider Name: ELISA MEDELLIN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
7526 LOUIS PASTEUR DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 450-6440
Get Directions

Elisa Medellin, LPC is a professional counselor in San Antonio, TX. Elisa Medellin, LPC NPI is 1669833075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7526 LOUIS PASTEUR DR
SAN ANTONIO, TX
ZIP 78229-001
Phone: (210) 450-6440
Fax: (210) 450-2104

The enumeration date for this NPI number is 3/11/2016 and was last updated on 3/31/2016.

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
1	101YP2500X	Counselor	Professional	70844	TEXAS	Yes

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	354918002	OTHER	TEXAS	CSHCN
2	354918001	MEDICAID	TEXAS

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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