Healthcare Provider Details

I. General information

NPI: 1538227152
Provider Name (Legal Business Name): ALAMO AREA COUNCIL OF GOVERNMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 NE LOOP 410 STE 101
SAN ANTONIO TX
78217-4840
US

IV. Provider business mailing address

2700 NE LOOP 410 STE 101
SAN ANTONIO TX
78217-4840
US

V. Phone/Fax

Practice location:
  • Phone: 210-362-5200
  • Fax: 866-332-3252
Mailing address:
  • Phone: 210-362-5200
  • Fax: 866-332-3252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MR. CLIFF HERBERG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 210-362-5200