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NPI Code Detail

MEDICARE: LAUREN TREVINO LMFTA

MEDICARE: LAUREN TREVINO LMFTA
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
1101YM0800XMental Health Counselor205718TX
2106H00000XMarriage & Family Therapist205718TX

General Provider Information

NPI Number : 1619795838
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN TREVINO LMFTA
Provider Business Mailing Address
First Line : 9901 W INTERSTATE 10 STE 775
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-1781
Country : US
Telephone Number : 210-957-1668
Fax Number :
Provider Business Practice Location Address
First Line : 9901 W INTERSTATE 10 STE 775
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-1781
Country : US
Telephone Number : 210-957-1668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2024
Last Update Date : 12/10/2024

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Directions to “ LAUREN TREVINO LMFTA” Practice Location

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