OUR LADY OF THE LAKE UNIVERSITY (NPI# 1982753448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982753448 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF THE LAKE UNIVERSITY |
| Other Organization Name | COMMUNITY COUNSELING SERVICE |
| Practice Address |
590 N General Mcmullen Dr 3 San Antonio TX 78228-6205 |
| Practice Telephone | 2104341054 |
| Practice Fax Number | 2104341380 |
| Mailing Telephone | 2104341054 |
| Mailing Fax Number | 2104341380 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | BERNADETTE H SOLORZANO (CLINIC DIRECTOR) |
| Authorized Official Telephone | 2104341054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 144674201 | 05 |
| Other Name | Type Code |
|---|---|
| Community Counseling Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780769265 | Our Lady of The Lake University | Counselor | 590 North General Mcmullen, 3, San Antonio, TX 78228 | 2006-10-25 |
| 1689811374 | Our Lady of The Lake University | Psychologist | 590 N General Mcmullen, 3, San Antonio, TX 78228-6205 | 2009-01-16 |
| 1588823199 | Our Lady of The Lake University | Counselor | 590 N General Mcmullen, 3, San Antonio, TX 78228-6205 | 2008-06-09 |
| 1063622314 | Our Lady of The Lake University | Speech-Language Pathologist | 411 Sw 24th St, San Antonio, TX 78207-4617 | 2007-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OUR LADY OF THE LAKE UNIVERSITY OF SAN ANTONIO | 411 Sw 24th St, San Antonio, TX 78207-4617 |
| Street Address |
590 N GENERAL MCMULLEN DR 3 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710219183 | Joan Leslie Biever | Psychologist | 590 N General Mcmullen Dr, San Antonio, TX 78228-6205 | 2010-02-09 |
| 1255451779 | Stanley Leo Culotta | Family Medicine | 590 N General Mcmullen Dr, Ste 1, San Antonio, TX 78228-6205 | 2007-03-29 |
| 1831234244 | Robert M Bobele | Psychologist | 590 N General Mcmullen Dr, Suite 3, San Antonio, TX 78228-6205 | 2007-02-21 |
| 1962547224 | Arnold Slive | Psychologist | 590 N General Mcmullen Dr, Suite 3, San Antonio, TX 78228-6205 | 2007-02-21 |
| 1841335247 | Bernadette Solorzano | Psychologist | 590 N General Mcmullen Dr, Suite Number 3, San Antonio, TX 78228-6205 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1720494214 | Early Trail Inc | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2014-07-07 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935476 | A Work of Heart Therapy, Pllc | Clinic/Center | 10650 Culebra Rd # 104-174, San Antonio, TX 78251-4949 | 2020-09-03 |
| 1265993547 | Leslie Edwards Ma Lpc Pllc | Clinic/Center | 17806 Ih 10 W Ste 300, San Antonio, TX 78257-8222 | 2019-03-28 |
| 1033677372 | Empowering You Counseling Services, LLC | Clinic/Center | 2008 Nw Military Hwy Ste 3, San Antonio, TX 78213-2130 | 2019-03-05 |
| 1154866945 | Bariatric Counseling Center of San Antonio, LLC | Clinic/Center | 9618 Huebner Rd Ste 320, San Antonio, TX 78240-1777 | 2017-01-03 |
| 1508257346 | Christina Wei,phd,rn,pmhnp-bc,pllc | Clinic/Center | 4242 Woodcock Dr Ste 201, San Antonio, TX 78228-1325 | 2015-02-16 |
| 1821279779 | Eating Disorder Center At San Antonio | Clinic/Center | 515 Busby Dr, San Antonio, TX 78209-1116 | 2007-11-20 |
| 1346433398 | United Black and Brown | Clinic/Center | 648 Delmar St, San Antonio, TX 78210-2466 | 2007-08-23 |
| 1578685277 | Recovery Behavioral Health of San Antonio LLC | Clinic/Center | 10515 Gulfdale St, Suite 111, San Antonio, TX 78216-3667 | 2007-04-04 |
| 1679685481 | Avalon Social Services Inc | Clinic/Center | 1731 N Comal St, San Antonio, TX 78258 | 2006-08-31 |
| 1336137678 | Modupeola Adedeji | Clinic/Center | 530 San Pedro Ave, San Antonio, TX 78212-5006 | 2005-10-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
Please comment or provide details below to improve the information on OUR LADY OF THE LAKE UNIVERSITY.
| 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.