NPI 1013773589 · live from the CMS NPI Registry
3h Behavioral Health
Social Worker, Clinical in Converse, TX. National Provider Identifier 1013773589, active.
NPI record
| NPI | 1013773589 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 10327 Waverunner, Converse, TX 78109 |
| Practice phone | 850-264-1515 |
| Mailing address | 902 Kitty Hawk Rd Ste 107-146, Universal City, TX 78148 |
| Enumerated | February 22, 2024 |
| Last updated | February 22, 2024 |
| Authorized official | Leah Brown, Owner/Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.