Healthcare Provider Details

I. General information

NPI: 1619567310
Provider Name (Legal Business Name): IN HIS HANDS COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NW LOOP 410 SUITE 201
SAN ANTONIO TX
78213
US

IV. Provider business mailing address

2127 OAK BND
SAN ANTONIO TX
78259
US

V. Phone/Fax

Practice location:
  • Phone: 210-291-7153
  • Fax:
Mailing address:
  • Phone: 210-291-7153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: VALERIE RIVAS
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 210-291-7153