Alamo City Behavioral Health Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66562 Issued in TX

Legal business name

ALAMO CITY BEHAVIORAL HEALTH SERVICES, LLC

Practice address

8607 Wurzbach Rd
V 201-C
San Antonio, TX 78240-1303

Phone

(859) 494-1859

Fax

(210) 669-9282

NPI assigned

Jun 4, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Marina L Montez, LPC

Title

Owner / President

Phone

(859) 494-1859

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448668800000",
    "number": "1487915682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 WURZBACH RD",
            "address_2": "V 201-C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401303",
            "telephone_number": "859-494-1859",
            "fax_number": "210-669-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 WURZBACH RD",
            "address_2": "V 201-C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401303",
            "telephone_number": "859-494-1859",
            "fax_number": "210-669-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO CITY BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2015-11-28",
        "status": "A",
        "authorized_official_last_name": "MONTEZ",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "859-494-1859",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356674337",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alamo City EMS and Transportation LLC

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2015; 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.