Healthcare Provider Details

I. General information

NPI: 1750917035
Provider Name (Legal Business Name): DEBORAH L LOUKAS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 03/18/2020
Certification Date: 03/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 E RAMSEY RD STE 204
SAN ANTONIO TX
78216-4662
US

IV. Provider business mailing address

372 BLUE BONNET BLVD
ALAMO HEIGHTS TX
78209-4633
US

V. Phone/Fax

Practice location:
  • Phone: 210-416-8906
  • 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 Number80428
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: