Healthcare Provider Details

I. General information

NPI: 1427346584
Provider Name (Legal Business Name): BEAT AIDS COALITION TRUST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2011
Last Update Date: 05/12/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 N MAIN SUITE 200
SAN ANTONIO TX
78212-4721
US

IV. Provider business mailing address

1017 N MAIN SUITE 200
SAN ANTONIO TX
78212-4721
US

V. Phone/Fax

Practice location:
  • Phone: 210-212-2266
  • Fax: 210-271-3600
Mailing address:
  • Phone: 210-212-2266
  • Fax: 210-271-3600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1427346584
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1427346584
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1427346584
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number1427346584
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number1427346584
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number1427346584
License Number StateTX
# 7
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number1427346584
License Number StateTX
# 8
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number1427346584
License Number StateTX
# 9
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number1427346584
License Number StateTX
# 10
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number1427346584
License Number StateTX
# 11
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number1427346584
License Number StateTX
# 12
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number1427346584
License Number StateTX
# 13
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number3113-3114
License Number StateTX

VIII. Authorized Official

Name: MRS. MICHELE MAYFIELD
Title or Position: EXECUTIVE
Credential: MED.
Phone: 210-212-2266