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NPI 1740917012 · live from the CMS NPI Registry

A C A Virtual Services LLC

Counselor, Mental Health in San Antonio, TX. National Provider Identifier 1740917012, active.

NPI record

NPI1740917012 Type 2 · organization
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location19115 Fm 2252 Ste 12, San Antonio, TX 78266
Practice phone210-473-3062
Mailing address8106 Alton Blvd, Selma, TX 78154
EnumeratedAugust 5, 2022
Last updatedAugust 5, 2022
Authorized officialAntony Ashby, Ceo
Other namesA C A Virtual Services LLC

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health primary101YM0800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.