Derek H Elder Lpc Pllc
LBN: Derek H Elder Lpc Pllc
Derek H Elder Lpc Pllc is an health care organization with primary practice located at 16607 Blanco Rd Ste 502 , San Antonio TX 78232-1910. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Derek H Elder Lpc Pllc can be contacted via phone (210) 326-4663, or through Elder, Derek Hartley via phone (210) 326-4663.
Contact Information
Primary practice address
16607 Blanco Rd Ste 502
San Antonio TX 78232-1910
Phone: (210) 326-4663
Fax: (210) 428-6454
Website:
Authorized official contact:
Name: Elder, Derek Hartley Licensed Professional Counselor (LPC)
Phone: (210) 326-4663
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 63638 | Texas |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 63638 | Texas |
Profile Details
| NPI number | 1912405242 |
|---|---|
| LBN Legal business name | Derek H Elder Lpc Pllc |
| DBA Doing business as | |
| Authorized official | Elder, Derek Hartley Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2018 |
| Last updated | Feb 1st, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912405242 | NPPES |
| Texas | MEDICAID | 281324801 |
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