| The Children's Shelter | |
|
2939 W Woodlawn Ave San Antonio TX 78228-5015 | |
| (210) 212-2500 | |
| Not Available |
| Full Name | The Children's Shelter |
|---|---|
| Speciality | Clinic/Center |
| Location | 2939 W Woodlawn Ave, San Antonio, Texas |
| Authorized Official Name and Position | Adrienne Beth Martinez (CFO) |
| Authorized Official Contact | 2102122500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Shelter 2939 W Woodlawn Ave San Antonio TX 78228-5015 Ph: (210) 212-2500 | The Children's Shelter 2939 W Woodlawn Ave San Antonio TX 78228-5015 Ph: (210) 212-2500 |
| NPI Number | 1285407007 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Medicare PECOS PAC ID | 0941731251 |
|---|---|
| Medicare Enrollment ID | O20240926004127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285407007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jazmyn J Contreras |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891491346 PECOS PAC ID: 5395193437 Enrollment ID: I20231129002820 |
| Provider Name | Brian D Schwartz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033258488 PECOS PAC ID: 0345657359 Enrollment ID: I20240926004198 |
| Provider Name | Judy E. Goblirsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376552455 PECOS PAC ID: 3870024136 Enrollment ID: I20240927001379 |
| Provider Name | Arturo Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710682844 PECOS PAC ID: 6709317068 Enrollment ID: I20240927001750 |
| Provider Name | Justin Kyle Brantley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821815036 PECOS PAC ID: 2567995376 Enrollment ID: I20241101000407 |
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