| Evidence Of Grace Counseling Center | |
|
803 Castroville Rd San Antonio TX 78237-3153 | |
| (210) 436-2339 | |
| Not Available |
| Full Name | Evidence Of Grace Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 803 Castroville Rd, San Antonio, Texas |
| Authorized Official Name and Position | Gilbert Aguall (OWNER) |
| Authorized Official Contact | 2104362339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evidence Of Grace Counseling Center 803 Castroville Rd San Antonio TX 78237-3153 Ph: () - | Evidence Of Grace Counseling Center 803 Castroville Rd San Antonio TX 78237-3153 Ph: (210) 436-2339 |
| NPI Number | 1538206214 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5496198160 |
|---|---|
| Medicare Enrollment ID | O20240209000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538206214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Gilbert Aguallo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275679151 PECOS PAC ID: 8123461803 Enrollment ID: I20240209001257 |
| Provider Name | Paula S. Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336232263 PECOS PAC ID: 4082058250 Enrollment ID: I20240215001017 |
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