| Laura Avina | |
|
4606 Centerview Ste 185 San Antonio TX 78228-1230 | |
| (210) 675-0066 | |
| (210) 618-0324 |
| Full Name | Laura Avina |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4606 Centerview Ste 185, San Antonio, Texas |
| Authorized Official Name and Position | Laura Jo Avina (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 2105443719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Avina 225 Mary Louise Dr San Antonio TX 78201-4422 Ph: (210) 544-3719 | Laura Avina 4606 Centerview Ste 185 San Antonio TX 78228-1230 Ph: (210) 675-0066 |
| NPI Number | 1386154086 |
|---|---|
| Provider Enumeration Date | 10/07/2017 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386154086 | NPI | - | NPPES |
| 101858206 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 18902 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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