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EXTRORDINARY COUNSELING NPI 1770861221


NPI Information

NPI: 1770861221
Provider Name: EXTRORDINARY COUNSELING

Doing Business As: EXTRORDINARY COUNSELING

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2803 E COMMERCE ST
SAN ANTONIO, TX
ZIP 78203
Phone: (210) 632-8966
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EXTRORDINARY COUNSELING is a community behavioral health in San Antonio, TX. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EXTRORDINARY COUNSELING NPI is 1770861221. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Extrordinary Counseling.

The provider's business location address is:

2803 E COMMERCE ST
SAN ANTONIO, TX
ZIP 78203-201
Phone: (210) 632-8966
Fax: (210) 337-7850

The provider's authorized official is Zylphia Marie Beverly .
The authorized official title is Counselor/owner and has the following contact phone number (210) 632-8966.

The enumeration date for this NPI number is 8/2/2011 and was last updated on 8/2/2011.


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
1101Y00000XCounselor9784TEXASNo
2101YA0400XCounselorAddiction (Substance Use Disorder)6238TEXASNo
3101YM0800XCounselorMental Health9784TEXASNo
4101YP2500XCounselorProfessional9784TEXASNo
5106H00000XMarriage & Family Therapist9784TEXASNo
6251S00000XCommunity/Behavioral Health9784TEXASYes

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
1095707803MEDICAIDTEXAS
2095707804MEDICAIDTEXAS
31750329124OTHERNPI TYPE I
4095707801MEDICAIDTEXAS

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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