Healthcare Provider Details

I. General information

NPI: 1346014107
Provider Name (Legal Business Name): NANCY OHLENBUSCH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8607 WURZBACH RD BLDG P100
SAN ANTONIO TX
78240-1281
US

IV. Provider business mailing address

PO BOX 15241
SAN ANTONIO TX
78212-8441
US

V. Phone/Fax

Practice location:
  • Phone: 210-697-3300
  • Fax:
Mailing address:
  • Phone: 210-697-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number86033
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number86033
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: