MARGARITA DIANA POULAKIS M.A. CRC LCDC NPI 1861789141

NPI Information

NPI: 1861789141
Provider Name: MARGARITA DIANA POULAKIS, M.A., CRC, LCDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
401 E SONTERRA BLVD
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 560-7278
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Margarita Diana Poulakis, M.A., CRC, LCDC is an addiction (substance use disorder) counselor in San Antonio, TX. Margarita Diana Poulakis, M.A., CRC, LCDC NPI is 1861789141. 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:

401 E SONTERRA BLVD
SAN ANTONIO, TX
ZIP 78258-073
Phone: (210) 560-7278

The enumeration date for this NPI number is 7/7/2011 and was last updated on 1/9/2014.

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	101YM0800X	Counselor	Mental Health			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12180	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	1308785	MEDICAID	MASSACHUSETTS
2	Y10400	MEDICARE PIN	MASSACHUSETTS
3	M18684	OTHER	MASSACHUSETTS	BLUE CROSS OF MASS
4	1306421	MEDICAID	MASSACHUSETTS

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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