Living In Authority, Pllc | |
9100 W Ih 10 Ste 250 San Antonio TX 78230-3113 | |
(248) 924-7999 | |
(915) 532-0012 |
Full Name | Living In Authority, Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 9100 W Ih 10 Ste 250, San Antonio, Texas |
Authorized Official Name and Position | Lia Marie Hollis (OWNER/PROVIDER) |
Authorized Official Contact | 2489247999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Living In Authority, Pllc Po Box 782242 San Antonio TX 78278-2242 Ph: (248) 924-7999 | Living In Authority, Pllc 9100 W Ih 10 Ste 250 San Antonio TX 78230-3113 Ph: (248) 924-7999 |
NPI Number | 1679926083 |
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Provider Enumeration Date | 07/20/2016 |
Last Update Date | 03/22/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679926083 | NPI | - | NPPES |
3549222 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 60681 (Texas) | Primary |
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