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General NPI Number Information
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NPI Number | 1730134586
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Entity Type | Organization
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Legal Business Name | BEXAR COUNTY BOARD OF TRUSTEES FOR MENTAL HEALTH MENTAL RETARDATION
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 6800 PARK TEN BLVD SUITE 200-S
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City | SAN ANTONIO
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State | TX
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Zip | 78213-4200
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Country | US
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Telephone | 210-261-1000
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Fax | 210-261-1821
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Provider Business Mailing Address
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Address Line | 6800 PARK TEN BLVD SUITE 200-S
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City | SAN ANTONIO
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State | TX
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Zip | 78213-4200
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Country | US
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Telephone | 210-261-1000
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Fax | 210-261-1821
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JAZMYN BIN-KALBAN
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Credential |
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Telephone | 210-261-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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