OUR LADY OF THE LAKE UNIVERSITY NPI 1780769265

NPI Information

OUR LADY OF THE LAKE UNIVERSITY is a mental health counselor in San Antonio, TX. OUR LADY OF THE LAKE UNIVERSITY NPI is 1780769265. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Counseling Service.

The provider's business location address is:

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

The provider's authorized official is Bernadette 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 10/25/2006 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:

Other Identifiers

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