Healthcare Provider Details

I. General information

NPI: 1972319689
Provider Name (Legal Business Name): VANESSA L ZAPATA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VANESSA HOOVER

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17206 BLANCO RD STE 2101
SAN ANTONIO TX
78232-2830
US

IV. Provider business mailing address

17206 BLANCO RD STE 2101
SAN ANTONIO TX
78232-2830
US

V. Phone/Fax

Practice location:
  • Phone: 210-209-0642
  • Fax: 855-357-8282
Mailing address:
  • Phone: 210-209-0642
  • Fax: 855-357-8282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number90439
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: