Identity Development Counseling And Family Resource Center

LBN: Identity Development Counseling And Family Resource Center
Identity Development Counseling And Family Resource Center is an health care organization with primary practice located at 21714 Hardy Oak Suite 104, San Antonio TX 78258. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Identity Development Counseling And Family Resource Center can be contacted via phone (210) 490-9062, or through Koiner, John Henry via phone (210) 490-9062.

Contact Information

Primary practice address
21714 Hardy Oak Suite 104 San Antonio TX 78258
Phone: (210) 490-9062
Fax: (210) 490-8843
Website:
Map and Directions
Authorized official contact:
Name: Koiner, John Henry LPC LMFT NCC
Phone: (210) 490-9062

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001123 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000552 Texas

Profile Details

NPI number 1740458421
LBN Legal business name Identity Development Counseling And Family Resource Center
DBA Doing business as
Authorized official Koiner, John Henry LPC LMFT NCC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2008
Last updated Apr 20th, 2008 - about 17 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 1740458421 NPPES
Other 8440L BCBS
Other A112102 BCBS
Other 0003 BCBS

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