Organization · NPI-2
Ama Behavioral Therapy, PLLC
Community/Behavioral Health · San Antonio, TX
NPI number1760747117
StatusActive
Last updated in NPPESJul 11, 2012
Details
- NPI
- 1760747117
- Entity type
- Organization (NPI-2)
- Legal business name
- Ama Behavioral Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2012
- Last updated
- Jul 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 60779 | TX | Yes |
Practice location
16007 Via ShavanoSte 102
San Antonio, TX 78249-2358
Phone 210-557-9212 · Fax 210-615-9400
Mailing address
16007 Via ShavanoSte 102
San Antonio, TX 78249-2358
Phone 210-557-9212 · Fax 210-615-9400
Authorized official
Andrea Menchaca Alvarez
Owner, Lpc
2105579212
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