Organization Active NPI

Holding Space PLLC

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1548641640
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOLDING SPACE PLLC
Practice address
2161 NW Military Hwy Ste 200
San Antonio, TX 78213-1844
Phone
(210) 920-5808
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Colin Lim
Title
Member Manager
Phone
(210) 920-5808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2161 NW Military Hwy Ste 200
San Antonio, TX 78213-1844

Mailing address

2161 NW Military Hwy Ste 200
San Antonio, TX 78213-1844

Other identifiers 1

IdentifierTypeStateIssuer
422778OtherMEDICARE ID

National Provider Directory

National Provider Directory

Locations

2161 NW Military Hwy
Ste 200
San Antonio, TX 78213
Phone (210) 920-5808

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1548641640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 NW MILITARY HWY STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 NW MILITARY HWY STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131844",
            "telephone_number": "210-920-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDING SPACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "210-920-5808"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "422778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.