Upekkha Behavioral Health | |
5503 Grissom Rd Ste 110 San Antonio TX 78238-3036 | |
(210) 325-7156 | |
Not Available |
Full Name | Upekkha Behavioral Health |
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Speciality | Social Worker |
Location | 5503 Grissom Rd Ste 110, San Antonio, Texas |
Authorized Official Name and Position | Diane Salazar (CLINICAL DIRECTOR) |
Authorized Official Contact | 2103257156 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Upekkha Behavioral Health 8430 Timber Crest St San Antonio TX 78250-4405 Ph: (210) 325-7156 | Upekkha Behavioral Health 5503 Grissom Rd Ste 110 San Antonio TX 78238-3036 Ph: (210) 325-7156 |
NPI Number | 1093341521 |
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Provider Enumeration Date | 03/16/2020 |
Last Update Date | 12/04/2020 |
Certification Date | 12/04/2020 |
Medicare PECOS PAC ID | 0648690925 |
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Medicare Enrollment ID | O20201027000796 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093341521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Diane M Salazar |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770058778 PECOS PAC ID: 8527488808 Enrollment ID: I20201027001070 |
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