Healthcare Provider Details

I. General information

NPI: 1033871546
Provider Name (Legal Business Name): DEBORAH LOUKAS, M.S., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 10/12/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 NW MILITARY HWY # 4
SAN ANTONIO TX
78213-2130
US

IV. Provider business mailing address

372 BLUE BONNET BLVD
ALAMO HEIGHTS TX
78209-4633
US

V. Phone/Fax

Practice location:
  • Phone: 210-409-8906
  • Fax: 210-598-0468
Mailing address:
  • Phone: 210-419-8906
  • Fax: 210-598-0468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH LOUKAS
Title or Position: CLINICAL DIRECTOR
Credential: LPC
Phone: 210-419-8906