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NPI Code Detail

MEDICARE: AVALON SOCIAL SERVICES, INC.

MEDICARE: AVALON SOCIAL SERVICES, INC.
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1952471229
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVALON SOCIAL SERVICES, INC.
Provider Business Mailing Address
First Line : 18007 SUMMER KNOLL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-3401
Country : US
Telephone Number : 210-404-9399
Fax Number : 210-481-7175
Provider Business Practice Location Address
First Line : 1731 N COMAL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78212-4214
Country : US
Telephone Number : 210-735-7275
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JOHN ERIC BELLETT
Credential : MPA
Telephone Number : 210-404-9399
Provider Enumeration Date : 11/08/2006
Last Update Date : 08/22/2020

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Directions to “AVALON SOCIAL SERVICES, INC. ” Practice Location

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