| South Texas Behavioral Medicine | |
|
12050 Vance Jackson Bldg. 2, Ste. 201 San Antonio TX 78230-1183 | |
| (210) 699-8881 | |
| (210) 699-0503 |
| Full Name | South Texas Behavioral Medicine |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12050 Vance Jackson, San Antonio, Texas |
| Authorized Official Name and Position | Diane Pena (OFFICE MANAGER) |
| Authorized Official Contact | 2106998881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Behavioral Medicine 12050 Vance Jackson Bldg. 2, Ste. 201 San Antonio TX 78230-1183 Ph: (210) 699-8881 | South Texas Behavioral Medicine 12050 Vance Jackson Bldg. 2, Ste. 201 San Antonio TX 78230-1183 Ph: (210) 699-8881 |
| NPI Number | 1992921019 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992921019 | NPI | - | NPPES |
| 1306857966 | Other | TX | MD |
| 1174549109 | Other | TX | MD |
| 1851317895 | Other | TX | LMFT, PHD, LPC |
| 1124053632 | Other | TX | APRN, MSN, BC |
| 1760408702 | Other | TX | MD |
| 1427064062 | Other | TX | MD |
| 1295743706 | Other | TX | PHD |
| 1487689998 | Other | TX | LPC, PHD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 22545 (Texas) | Primary |
| 106H00000X | Marriage & Family Therapist | 1884 (Texas) | Secondary |
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Westover Hills Behavioral Therapy Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 Wiseman Blvd Ste 204, San Antonio, TX 78251 Phone: 210-521-1600 Fax: 210-521-1626 | |
Training Solutions And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Mabry, Suite 100, San Antonio, TX 78226 Phone: 210-922-1274 Fax: 210-932-9891 | |
Bailey Peyton Delaney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4499 Medical Dr Ste 122, San Antonio, TX 78229 Phone: 210-616-0665 Fax: 210-616-0932 | |
South Texas Neuropsychological Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3603 Paesanos Pkwy, Ste 300a, San Antonio, TX 78231 Phone: 210-614-3011 Fax: 210-615-6906 | |
Hillary Marvin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6602 Ivywood Dr, San Antonio, TX 78249 Phone: 281-467-4917 | |
Third Space Counseling And Consultation, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 Pantheon Way Suite 245, San Antonio, TX 78232 Phone: 210-602-9499 |