NPI 1235768250 · live from the CMS NPI Registry
Behavioral Support & Nursing Services, LLC
Counselor, Mental Health in San Antonio, TX. National Provider Identifier 1235768250, active.
NPI record
| NPI | 1235768250 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 1600 Ne Loop 410 Ste 105, San Antonio, TX 78209 |
| Practice phone | 210-246-2334 |
| Mailing address | 805 N Whittington Pkwy, Louisville, KY 40222 |
| Enumerated | April 2, 2020 |
| Last updated | April 12, 2022 |
| Authorized official | Angie Mattingly, Manager Provider Enrollment |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | — |
| Behavior Analyst | 103K00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.