MEDICARE: MRS. CARMEN C LEWENTHAL LPC LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	08381	TX
2	106H00000X	Marriage & Family Therapist	645	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6544LC	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1427126218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARMEN C LEWENTHAL LPC LMFT

Provider Business Mailing Address
First Line	:	303 E TERRA ALTA
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209
Country	:	US
Telephone Number	:	210-822-6144
Fax Number	:	210-826-1021

Provider Business Practice Location Address
First Line	:	1550 NE LOOP 410
Second Line	:	# 200
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209
Country	:	US
Telephone Number	:	210-822-6144
Fax Number	:	210-826-1021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	09/11/2025

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