MEDICARE: MARGARITA DIANA POULAKIS M.A., CRC, LCDC

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
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	12180	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	M18684	OTHER	MA	BLUE CROSS OF MASS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861789141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARITA DIANA POULAKIS M.A., CRC, LCDC

Provider Business Mailing Address
First Line	:	401 E SONTERRA BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4073
Country	:	US
Telephone Number	:	210-560-7278
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 E SONTERRA BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4073
Country	:	US
Telephone Number	:	210-560-7278
Fax Number	:

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

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	01/09/2014

Similar Medicare Providers

1801673033 — ALYSSA HANSHAW MA, LPC-A
Practice Location Address:

401 E SONTERRA BLVD
SAN ANTONIO, TX
78258-4073

Practice Phone: 956-645-9430
Practice Fax:

1255584629 — TSEHAINESH AREFAINE KAHSAY
Practice Location Address:

4073 PULITZER PL APT 2
SAN DIEGO, CA
92122-4218

Practice Phone: 858-405-6006
Practice Fax:

1225456395 — MELISSA PAMELA CAVENECIA
Practice Location Address:

1330 CONTRA COSTA AVE APT J204
SAN PABLO, CA
94806-4073

Practice Phone: 510-932-6448
Practice Fax:

1639549876 — AAROHI PANDYA
Practice Location Address:

30 E JULIAN ST , UNIT 216
SAN JOSE, CA
95112-4073

Practice Phone: 213-300-2753
Practice Fax:

1871045476 — A & A ENTERPRISE GROUP LLC
Practice Location Address:

4073 LAKESIDE DR
SAN JOSE, CA
95148-3837

Practice Phone: 408-476-4198
Practice Fax:

1740139575 — MR. MICHAEL LEE ELLIOTT JR.
Practice Location Address:

19500 US HIGHWAY 281 N APT 618
SAN ANTONIO, TX
78258-7508

Practice Phone: 210-663-3909
Practice Fax:

Directions to “ MARGARITA DIANA POULAKIS M.A., CRC, LCDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.