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NPI Code Detail

MEDICARE: MA HILAS HEART PROJECT FOUNDATION

MEDICARE: MA HILAS HEART PROJECT FOUNDATION
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366120487
Entity Type Code : Organization
Provider Name (Legal Business Name) : MA HILAS HEART PROJECT FOUNDATION
Provider Business Mailing Address
First Line : 8426 FOUNTAIN CIR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-2387
Country : US
Telephone Number : 210-281-5997
Fax Number :
Provider Business Practice Location Address
First Line : 8426 FOUNTAIN CIR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-2387
Country : US
Telephone Number : 210-281-5997
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MRS. TAMMY CANTU PEREZ
Credential : NCC, LCDC, LPC
Telephone Number : 210-834-5017
Provider Enumeration Date : 07/10/2023
Last Update Date : 07/24/2023

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Directions to “MA HILAS HEART PROJECT FOUNDATION ” Practice Location

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