Hattie M Hendrix, LCDC #14624
Counselor, Professional in San Antonio, TX. Individual provider (NPI-1).
NPI number1376970533
StatusActive
Last updated in NPPESMay 14, 2025
Details
- NPI
- 1376970533
- Entity type
- Individual (NPI-1)
- Name
- Hattie M Hendrix
- Credential
- LCDC #14624
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2013
- Certification date
- May 14, 2025
- Last updated
- May 14, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 91573 | TX | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 14624 | TX |
Practice location
3615 Culebra RdSan Antonio, TX 78228-5914
Phone 210-314-6473
Mailing address
3615 Culebra RdSan Antonio, TX 78228-5914
Phone 210-314-6473 · Fax 210-314-8676
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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