Our Lady Of The Lake University in San Antonio - Mental Health
Our Lady Of The Lake University - NPI 1780769265
Our Lady Of The Lake University is a Mental Health in San Antonio, Texas. Our Lady Of The Lake University practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Our Lady Of The Lake University is 1780769265. The last update date is 2008-06-09.
Our Lady Of The Lake University's current location address is 590 North General Mcmullen, San Antonio, Texas. You can contact this provider via phone number 2104341054 and fax number 2104341380. The mailing address for Our Lady Of The Lake University is 590 North General Mcmullen, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Our Lady Of The Lake University |
|---|---|
| Address | 590 North General Mcmullen, San Antonio, Texas |
| Phone Number | 2104341054 |
| Fax Number | 2104341380 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC DIR |
|---|---|
| Authorized Official Name | Solorzano Bernadette |
| Credentials | PSYD |
| Telephone Number | 2104341054 |
NPI Number Detail
| NPI Number | 1780769265 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | 590 North General Mcmullen |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 78228 |
| Phone Number | 2104341054 |
| Fax Number | 2104341380 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 16408 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1446742 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Our Lady Of The Lake University?
The Our Lady Of The Lake University has been issued the NPI (National Provider Identifier) 1780769265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Our Lady Of The Lake University?
The Our Lady Of The Lake University is physically situated at 590 North General Mcmullen, in the city of San Antonio, state of TX, with the postal code 78228.
What is Our Lady Of The Lake University's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Our Lady Of The Lake University is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did Our Lady Of The Lake University receive its 1780769265 assignment from the Centers for Medicare & Medicaid Services?
The Our Lady Of The Lake University was assigned its 1780769265 on 2006-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Our Lady Of The Lake University's information last updated?
The Our Lady Of The Lake University's information was last updated on 2008-06-09.
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