Organization · Type 2 NPI
The Extended Olive Branch Counseling Center LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · San Antonio, TX
NPI number
1619645975
Active
Practice location
16320 Huebner Rd Ste 200
San Antonio, TX 78248-1690
Fax (830) 215-0223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counseling Psychologist | 103TC1900X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1619645975
The Extended Olive Branch Counseling Center LLC's National Provider Identifier is 1619645975, issued on Sep 1, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Antonio, TX. The record was last updated on Sep 14, 2021.