Engedi Therapy Services, Pllc

LBN: Engedi Therapy Services, Pllc
Engedi Therapy Services, Pllc is an health care organization with primary practice located at 401 E Sonterra Blvd Ste 375 , San Antonio TX 78258-4321. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Engedi Therapy Services, Pllc can be contacted via phone (757) 867-5811, or through Martin, Lawanda via phone (757) 867-5811.

Contact Information

Primary practice address
401 E Sonterra Blvd Ste 375 San Antonio TX 78258-4321
Phone: (757) 867-5811
Fax: (757) 384-1581
Website:
Map and Directions
Authorized official contact:
Name: Martin, Lawanda Licensed Professional Counselor (LPC)
Phone: (757) 867-5811

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701006966 Virginia
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1609389626
LBN Legal business name Engedi Therapy Services, Pllc
DBA Doing business as
Authorized official Martin, Lawanda Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2017
Last updated Mar 14th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609389626 NPPES
Florida MEDICAID 1336489012

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