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DEREK H ELDER LPC PLLC NPI 1912405242


NPI Information

NPI: 1912405242
Provider Name: DEREK H ELDER LPC PLLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
16607 BLANCO RD STE 502
SAN ANTONIO, TX
ZIP 78232
Phone: (210) 326-4663
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DEREK H ELDER LPC PLLC is an adolescent and children mental health clinic center in San Antonio, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. DEREK H ELDER LPC PLLC NPI is 1912405242. The provider is registered as an organization entity type.

The provider's business location address is:

16607 BLANCO RD STE 502
SAN ANTONIO, TX
ZIP 78232-910
Phone: (210) 326-4663
Fax: (210) 428-6454

The provider's authorized official is Derek Hartley Elder .
The authorized official title is Counselor and has the following contact phone number (210) 326-4663.

The enumeration date for this NPI number is 2/1/2018 and was last updated on 2/1/2018.


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
1261QM0850XClinic/CenterAdult Mental Health63638TEXASNo
2261QM0855XClinic/CenterAdolescent and Children Mental Health63638TEXASYes

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
1281324801MEDICAIDTEXAS

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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