Healthcare Provider Details
I. General information
NPI: 1225344567
Provider Name (Legal Business Name): ZEITGEIST EXPRESSIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2010
Last Update Date: 10/11/2020
Certification Date: 10/11/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5282 MEDICAL DR STE 605
SAN ANTONIO TX
78229-6114
US
IV. Provider business mailing address
PO BOX 29735
SAN ANTONIO TX
78229-0735
US
V. Phone/Fax
- Phone: 210-447-7373
- Fax: 210-444-2171
- Phone: 210-447-7373
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC0400X |
| Taxonomy | Case Management Registered Nurse |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 64712 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
PATRICIA
E
ADAMS
Title or Position: CEO
Credential: DMIN, LMFT, CEO
Phone: 210-447-7373