Identity Development Counseling And Family Resource Center
LBN: Identity Development Counseling And Family Resource Center
Identity Development Counseling And Family Resource Center is an health care organization with primary practice located at 21714 Hardy Oak Suite 104, San Antonio TX 78258. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Identity Development Counseling And Family Resource Center can be contacted via phone (210) 490-9062, or through Koiner, John Henry via phone (210) 490-9062.
Contact Information
Primary practice address
21714 Hardy Oak Suite 104
San Antonio TX 78258
Phone: (210) 490-9062
Fax: (210) 490-8843
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001123 | Texas |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 000552 | Texas |
Profile Details
NPI number | 1740458421 |
---|---|
LBN Legal business name | Identity Development Counseling And Family Resource Center |
DBA Doing business as | |
Authorized official | Koiner, John Henry LPC LMFT NCC |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 14th, 2008 |
Last updated | Apr 20th, 2008 - about 16 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 | 1740458421 | NPPES |
Other | 8440L | BCBS | |
Other | A112102 | BCBS | |
Other | 0003 | BCBS |
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