MEDICARE: MRS. HEMA G BHAKTA M.A., LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	67613	TX
2	101YP2500X	Professional Counselor	67613	TX

General Provider Information

NPI Number	:	1093882557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEMA G BHAKTA M.A., LPC

Provider Business Mailing Address
First Line	:	PO BOX 160846
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78280-3046
Country	:	US
Telephone Number	:	210-446-6405
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 BLANCO RD
Second Line	:	SUITE 501
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-4936
Country	:	US
Telephone Number	:	210-446-6405
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	01/27/2012

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