TRAVELING AGE (NPI# 1831542240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831542240 |
| Entity Type | Organization |
| Organization Name | TRAVELING AGE |
| Practice Address |
901 Ne Loop 410 Suite 100 San Antonio TX 78209-1305 |
| Mailing Address |
10842 Green Lake St Lot #93 San Antonio TX 78223-4240 |
| Practice Telephone | 2679027537 |
| Mailing Telephone | 2679027537 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | TAKEITHA A. MOYE (PTA) |
| Authorized Official Telephone | 2679027537 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2115702 | TX | Agencies |
| Street Address |
901 NE LOOP 410 SUITE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487704821 | Margaret Jane Watson | Audiologist | 901 Ne Loop 410, #410, San Antonio, TX 78209-1305 | 2007-01-10 |
| 1033619747 | Marina Gloria Rivera-ridens | Nutritionist | 901 Ne Loop 410, San Antonio, TX 78209-1305 | 2018-02-19 |
| 1265748529 | Ronald R Holder | Counselor | 901 Ne Loop 410, San Antonio, TX 78209 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510082 | Ab Solutions LLC | Community/Behavioral Health | 9439 Dugas, San Antonio, TX 78245 | 2020-08-28 |
| 1831720192 | Hope Project Program | Community/Behavioral Health | 7334 Concerto Dr, San Antonio, TX 78266-1719 | 2020-01-27 |
| 1891325114 | Bexar County Community Services | Community/Behavioral Health | 9411 Del Mar Cir, San Antonio, TX 78251-3504 | 2020-01-26 |
| 1821595562 | Solutions for Families LLC | Community/Behavioral Health | 9901 W Ih 10 Ste 800, San Antonio, TX 78230-2292 | 2018-04-10 |
| 1528584109 | Visionquest National Ltd | Community/Behavioral Health | 1800 Ne Loop 410 Ste 214, San Antonio, TX 78217-5210 | 2017-08-16 |
| 1811437643 | Molden To Win | Community/Behavioral Health | 10027 Bermuda Palm, San Antonio, TX 78245-2892 | 2017-02-27 |
| 1821546078 | Innova Recovery | Community/Behavioral Health | 1842 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1559 | 2016-09-16 |
| 1790232932 | Billie Vesely | Community/Behavioral Health | 130 Talavera Pkwy, Apartment 2313, San Antonio, TX 78232-1011 | 2016-09-06 |
| 1003266776 | Hillary Marvin | Community/Behavioral Health | 6602 Ivywood Dr, San Antonio, TX 78249-4856 | 2016-06-14 |
| 1386002913 | Dunklin Health and Wellness Management, LLC | Community/Behavioral Health | 7226 Blanco Rd, 206, San Antonio, TX 78216-4964 | 2016-02-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
Please comment or provide details below to improve the information on TRAVELING AGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.