Derek H Elder Lpc Pllc | |
16607 Blanco Rd Ste 502 San Antonio TX 78232-1910 | |
(210) 326-4663 | |
(210) 428-6454 |
Full Name | Derek H Elder Lpc Pllc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 16607 Blanco Rd Ste 502, San Antonio, Texas |
Authorized Official Name and Position | Derek Hartley Elder (COUNSELOR) |
Authorized Official Contact | 2103264663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Derek H Elder Lpc Pllc 16607 Blanco Rd Ste 502 San Antonio TX 78232-1910 Ph: (210) 326-4663 | Derek H Elder Lpc Pllc 16607 Blanco Rd Ste 502 San Antonio TX 78232-1910 Ph: (210) 326-4663 |
NPI Number | 1912405242 |
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Provider Enumeration Date | 02/01/2018 |
Last Update Date | 02/01/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912405242 | NPI | - | NPPES |
281324801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 63638 (Texas) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 63638 (Texas) | Primary |
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