Healthcare Provider Details

I. General information

NPI: 1306650395
Provider Name (Legal Business Name): CHRISTINE ELIZABETH AMERSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5522 LONE STAR PKWY STE 303
SAN ANTONIO TX
78253
US

IV. Provider business mailing address

5522 LONE STAR PKWY STE 303
SAN ANTONIO TX
78253
US

V. Phone/Fax

Practice location:
  • Phone: 210-664-1275
  • Fax:
Mailing address:
  • Phone: 210-664-1275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number85158
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number85158
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: