MEDICARE: MRS. LYNDA RODRIGUEZ VLATTAS LPC LMFT

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	101Y00000X	Counselor	LPC14058	TX
2	104100000X	Social Worker	LMFT4781	TX

General Provider Information

NPI Number	:	1164442448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LYNDA RODRIGUEZ VLATTAS LPC LMFT

Provider Business Mailing Address
First Line	:	1534 CLEMENTSON DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-6280
Country	:	US
Telephone Number	:	210-383-2509
Fax Number	:

Provider Business Practice Location Address
First Line	:	1534 CLEMENTSON DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-6280
Country	:	US
Telephone Number	:	210-383-2509
Fax Number	:

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	09/11/2025

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