| Advanced Counseling Services Inc | |
|
4318 Woodcock Dr Ste 120 San Antonio TX 78228-1315 | |
| (210) 544-4471 | |
| (210) 547-0256 |
| Full Name | Advanced Counseling Services Inc |
|---|---|
| Speciality | Counselor |
| Location | 4318 Woodcock Dr Ste 120, San Antonio, Texas |
| Authorized Official Name and Position | Teri Johnson (OWNER) |
| Authorized Official Contact | 2105444471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Counseling Services Inc 4318 Woodcock Dr Ste 120 San Antonio TX 78228-1315 Ph: (210) 571-4471 | Advanced Counseling Services Inc 4318 Woodcock Dr Ste 120 San Antonio TX 78228-1315 Ph: (210) 544-4471 |
| NPI Number | 1760969950 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 6406294925 |
|---|---|
| Medicare Enrollment ID | O20240403001882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760969950 | NPI | - | NPPES |
| 71328 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 71328 (Texas) | Primary |
| Provider Name | Teri Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417323197 PECOS PAC ID: 7214375732 Enrollment ID: I20240403002007 |
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