MEDICARE: GUIDON GROUP BEHAVIORAL HEALTH LLC

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

General Provider Information

NPI Number	:	1578419339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDON GROUP BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	105 W FABRA LN
Second Line	:
City	:	BOERNE
State	:	TX
Zip	:	78006-7905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 W FABRA LN
Second Line	:
City	:	BOERNE
State	:	TX
Zip	:	78006-7905
Country	:	US
Telephone Number	:	210-817-4461
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	JENNIFER ALEXANDER
Credential	:	M. ED., LPC
Telephone Number	:	210-723-3420

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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