MEDICARE: HARBOR HOPE

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	:	1902642325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR HOPE

Provider Business Mailing Address
First Line	:	7175 BELLA GDN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78256-2123
Country	:	US
Telephone Number	:	210-391-5554
Fax Number	:

Provider Business Practice Location Address
First Line	:	7175 BELLA GDN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78256-2123
Country	:	US
Telephone Number	:	210-391-5554
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. IVONNE ORIETHA GARCIA
Credential	:
Telephone Number	:	210-391-5554

Provider Enumeration Date	:	07/04/2024
Last Update Date	:	07/04/2024

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Directions to “HARBOR HOPE ” Practice Location

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