| Families De Novo Counseling | |
|
2400 Mccullough Ave #12851 San Antonio TX 78212-8001 | |
| (210) 419-3923 | |
| (210) 320-0958 |
| Full Name | Families De Novo Counseling |
|---|---|
| Speciality | Counselor |
| Location | 2400 Mccullough Ave, San Antonio, Texas |
| Authorized Official Name and Position | Felise De Novo (PRESIDENT) |
| Authorized Official Contact | 2104193923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Families De Novo Counseling Po Box 12851 San Antonio TX 78212-2814 Ph: (210) 419-3923 | Families De Novo Counseling 2400 Mccullough Ave #12851 San Antonio TX 78212-8001 Ph: (210) 419-3923 |
| NPI Number | 1164638011 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 06/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164638011 | NPI | - | NPPES |
| 1386723500 | Other | TX | INDIVIDUAL NPI |
| 0290504-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 16133 (Texas) | Primary |
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