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AGELESS LIVING HOME HEALTH NPI 1710354436


NPI Information

NPI: 1710354436
Provider Name: AGELESS LIVING HOME HEALTH
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
3463 MAGIC DR
SUITE 350
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 582-5840
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AGELESS LIVING HOME HEALTH is a counselor in San Antonio, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. AGELESS LIVING HOME HEALTH NPI is 1710354436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3463 MAGIC DR
SUITE 350
SAN ANTONIO, TX
ZIP 78229-973
Phone: (210) 582-5840
Fax: (210) 582-5841

The provider's authorized official is Philip Thomas .
The authorized official title is Administrator and has the following contact phone number (210) 582-5840.

The enumeration date for this NPI number is 8/28/2015 and was last updated on 8/28/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor63029TEXASYes

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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