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18838 Stone Oak Pkwy Ste 201 San Antonio TX 78258-4179 | |
| (210) 384-1254 | |
| (210) 610-8371 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 18838 Stone Oak Pkwy Ste 201, San Antonio, Texas |
| Authorized Official Name and Position | Amanda Nicole Sharp (OWNER) |
| Authorized Official Contact | 2103841254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
18838 Stone Oak Pkwy Ste 201 San Antonio TX 78258-4179 Ph: (210) 340-1254 | 18838 Stone Oak Pkwy Ste 201 San Antonio TX 78258-4179 Ph: (210) 384-1254 |
| NPI Number | 1710510177 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 0042641102 |
|---|---|
| Medicare Enrollment ID | O20200506000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710510177 | NPI | - | NPPES |
| Provider Name | Amanda Nicole Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164974291 PECOS PAC ID: 9537592555 Enrollment ID: I20191205001995 |
| Provider Name | Chelsea Rose Frisbie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962117366 PECOS PAC ID: 3577901370 Enrollment ID: I20240328003845 |
| Provider Name | Diandra Palacio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598528291 PECOS PAC ID: 2062850894 Enrollment ID: I20240329000906 |
| Provider Name | Edward Gregory Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558905935 PECOS PAC ID: 1850739699 Enrollment ID: I20240329001070 |
| Provider Name | Juliana Guadamuz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609473685 PECOS PAC ID: 6406294289 Enrollment ID: I20240329002786 |
| Provider Name | Laura Ruth Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982375648 PECOS PAC ID: 6507204203 Enrollment ID: I20240401000958 |
| Provider Name | Janelle Nicole Whitener |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881439685 PECOS PAC ID: 4789128398 Enrollment ID: I20240705002893 |
| Provider Name | Jaime L Furlongue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568159572 PECOS PAC ID: 6608311485 Enrollment ID: I20240717000489 |
| Provider Name | Hope Risher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316639628 PECOS PAC ID: 3476088253 Enrollment ID: I20241203002731 |
| Provider Name | Jeremy Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578007738 PECOS PAC ID: 1355877077 Enrollment ID: I20241204004630 |
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