KINGDOM OUTREACH CENTER OF SAN ANTONIO, TX

Address: Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217
Phone: 2106879715

KINGDOM OUTREACH CENTER OF SAN ANTONIO, TX (NPI# 1699307173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699307173
Entity Type Organization
Organization Name KINGDOM OUTREACH CENTER OF SAN ANTONIO, TX
Practice Address Kingdom Out Reach Center of San Antonio
3819 Naco Perrin Blvd #118
San Antonio
TX 78217
Mailing Address 6027 Red Rose
San Antonio
TX 78244-4431
Practice Telephone 2106879715
Enumeration Date 2020-02-12
Last Update Date 2020-02-12
Authorized Official Name KENNETH BROWN (LEAD CONSULTANT)
Authorized Official Telephone 2106879715
Authorized Official Credential LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5282 Medical Dr Ste 605, San Antonio, TX 782296114 2102713630 2104442171

Office Location

Street Address KINGDOM OUT REACH CENTER OF SAN ANTONIO
3819 NACO PERRIN BLVD #118
City SAN ANTONIO
State TX
Zip Code 78217

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390278 Nadia Sanchez De Ramos Counselor 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 2020-06-10
1104455518 Lamonica Shantae Armond Counselor 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 2020-04-07
1487282414 Debra Pitts Counselor 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 2020-03-27
1083241129 Jena Lalley Nurse Practitioner 8723 Botts Lane, San Antonio, TX 78217 2020-03-26
1881224277 Tinyada Robinson Recreation Therapist 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 2020-01-24
1255996815 Chelsey Lynn Guy Dental Hygienist 10231 Kotzebue St., San Antonio, TX 78217 2019-05-08
1972069144 Emma Getic Behavioral Analyst 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 2019-02-13
1487133781 Rebecca Rendon Registered Nurse 8610 N. New Braunfels Ave, Ste. 405, San Antonio, TX 78217 2018-08-08
1326526922 Charlene Michelle Turner Registered Nurse 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 2018-08-06
1386138873 Pcr Diagnostics LLC Clinical Medical Laboratory 8812 Broadway St Ste B, San Antonio, TX 78217 2018-06-18
Find all providers in zip 78217

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497356885 Courtney Adcox Counselor 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 2020-11-03
1235746025 Audrey Alexander Jolivette Counselor 10730 Potranco Rd Ste 122-475, San Antonio, TX 78251-3327 2020-09-26
1275150849 Jessica Michele Flores Counselor 13835 Murphy Hvn, San Antonio, TX 78254-4563 2020-06-30
1093339822 Melissa Childers-White Counselor 212 Village Cir, San Antonio, TX 78232-2824 2020-06-08
1861014623 Auxilium Project Counselor 502 Stockton Dr, San Antonio, TX 78216-6438 2020-05-14
1497377659 William J Loy Counselor 438 Stardust Dr, San Antonio, TX 78228-2761 2020-05-11
1417577644 Frances B Wong Counselor 142 Milford Dr, San Antonio, TX 78213-4036 2020-04-17
1336778778 Agentix Counseling, Coaching, & Consulting Pllc Counselor 21018 El Suelo Bueno, San Antonio, TX 78258-2924 2020-04-07
1477180925 Jenna Marie Ruhd Counselor 7215 S Ww White Rd, San Antonio, TX 78222-5203 2020-03-25
1306476262 Consilium Coaching Counselor 10918 Vance Jackson Rd Ste 103, San Antonio, TX 78230-2556 2020-01-20
Find all providers in SAN ANTONIO

Competitor

Search similar providers

City SAN ANTONIO
Zip Code 78217

Improve Information

Please provide details on KINGDOM OUTREACH CENTER OF SAN ANTONIO, TX by submitting the form below, or post on facebook comments.

Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.

Dataset Information

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.