MEDICARE: BATTLING MINDS

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1346914926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BATTLING MINDS

Provider Business Mailing Address
First Line	:	909 NE LOOP 410 STE 634
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-1309
Country	:	US
Telephone Number	:	210-325-5809
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 NE LOOP 410 STE 634
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-1309
Country	:	US
Telephone Number	:	210-325-5809
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICIAN
Name	:	TIFFANY JUAREZ
Credential	:	LCSW
Telephone Number	:	210-325-5809

Provider Enumeration Date	:	08/06/2021
Last Update Date	:	09/01/2023

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Directions to “BATTLING MINDS ” Practice Location

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