Acacia Counseling

Key facts

NPI

1215575360

Entity type

Organization (NPI type 2)

Primary specialty

Professional Counselor 101YP2500X

Legal business name

ACACIA COUNSELING

Practice address

115 Granada Dr
Universal City, TX 78148-3134

Phone

(210) 875-4445

NPI assigned

Dec 19, 2019

Organization subpart

No

Authorized official

Name

Acacia Hellums

Title

Owner

Phone

(210) 875-4445

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Acacia Deal Jaimez, LPC Professional Counselor · Live Oak, TX · NPI 1346746542
  NPD PROFESSIONAL

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 19, 2019.

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1215575360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GRANADA DR",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483134",
            "telephone_number": "210-875-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GRANADA DR",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483134",
            "telephone_number": "210-875-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "HELLUMS",
        "authorized_official_first_name": "ACACIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-875-4445"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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