LGM Counseling Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

53351 Issued in TX

Legal business name

LGM COUNSELING CENTER, LLC

Practice address

302 E Josephine St Ste 1101
San Antonio, TX 78215-1161

Phone

(210) 618-9680

NPI assigned

Apr 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorena Medellin

Title

Owner

Phone

(210) 618-9680

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043742406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591637",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590131",
            "telephone_number": "210-618-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E JOSEPHINE ST STE 1101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151161",
            "telephone_number": "210-618-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGM COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEDELLIN",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-618-9680"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.