MS. MIRTA Z SANDOVAL


Address: 1446 Chalmers Ave, San Antonio, TX 78211-1414
Phone: 2108628492

MS. MIRTA Z SANDOVAL (NPI# 1518418052) 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) 1518418052
Entity Type Individual
Full Name MS. MIRTA Z SANDOVAL
Credential LPC
Practice Address 1446 Chalmers Ave
San Antonio
TX 78211-1414
Practice Telephone 2108628492
Mailing Telephone 2108628492
Enumeration Date 2016-10-19
Last Update Date 2016-10-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
72777 TX Behavioral Health & Social Service Providers

Office Location

Street Address 1446 CHALMERS AVE
City SAN ANTONIO
State TX
Zip Code 78211-1414

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City SAN ANTONIO
Zip Code 78211

Improve Information

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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.

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