ENLIGHTENED BEHAVIORAL HEALTH SYSTEMS, L.L.C. (NPI# 1609008838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609008838 |
| Entity Type | Organization |
| Organization Name | ENLIGHTENED BEHAVIORAL HEALTH SYSTEMS, L.L.C. |
| Practice Address |
4807 West Ave Suite 100 San Antonio TX 78213-2709 |
| Practice Telephone | 2106923030 |
| Practice Fax Number | 2106923232 |
| Mailing Telephone | 2106923030 |
| Mailing Fax Number | 2106923232 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | MS. SHERRY A MULLEN (TREASURER/ MANAGER) |
| Authorized Official Telephone | 2106923030 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | TPI 282960802 | TX | Agencies |
| N | 251S00000X | Community/Behavioral Health | 454916 | TX | Agencies |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
4807 WEST AVE SUITE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78213-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699918987 | Sherry Mullen | Social Worker | 4807 West Ave, Ste 100, San Antonio, TX 78213-2709 | 2009-04-15 |
| 1215453592 | Tiffaney Michelle Gibbons | Counselor | 4807 West Ave, 100, San Antonio, TX 78213 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198311 | Suzanne Danial | Behavior Technician | Bloom Behavioral and Educational Solutions, 1850 Lockhill Selma Rd #106, San Antonio, TX 78213 | 2020-06-09 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1326540816 | Alexus Danielle Tant-quintero | Licensed Vocational Nurse | 1300 Patricia, San Antonio, TX 78213 | 2018-03-01 |
| 1841714672 | San Antonio Endodontics Associates LLC | Dentist | 1110 Nw Loop 410, Suite 515, San Antonio, TX 78213 | 2017-08-02 |
| 1104285022 | West Avenue Dental Partners Pllc | Dentist | 4812 West Avenue, Suite 101, San Antonio, TX 78213 | 2016-02-19 |
| 1568829570 | Stephanie Motes | Counselor | 1919 Nw Loop 410 Ste 201, San Antonio, TX 78213 | 2016-01-21 |
| 1508236506 | Pediatric Home Healthcare, LLC | Home Health | 6800 Park Ten Blvd Ste 140e, San Antonio, TX 78213 | 2015-10-02 |
| 1457775439 | Larry Roberto Dela Cruz | Specialist/Technologist, Other | 218 Mackey Drive, San Antonio, TX 78213 | 2014-02-11 |
| 1437424306 | Kellie Miller | Nurse Practitioner | 2211 Nw Military Highway, 207, Castle Hills, TX 78213 | 2012-03-12 |
| 1619248416 | Karri Ann Lusk | Psychologist | 2161 Nw Military Hwy., Suite 207, San Antonio, TX 78213 | 2012-01-25 |
| Find all providers in zip 78213 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935476 | A Work of Heart Therapy, Pllc | Clinic/Center | 10650 Culebra Rd # 104-174, San Antonio, TX 78251-4949 | 2020-09-03 |
| 1265993547 | Leslie Edwards Ma Lpc Pllc | Clinic/Center | 17806 Ih 10 W Ste 300, San Antonio, TX 78257-8222 | 2019-03-28 |
| 1033677372 | Empowering You Counseling Services, LLC | Clinic/Center | 2008 Nw Military Hwy Ste 3, San Antonio, TX 78213-2130 | 2019-03-05 |
| 1154866945 | Bariatric Counseling Center of San Antonio, LLC | Clinic/Center | 9618 Huebner Rd Ste 320, San Antonio, TX 78240-1777 | 2017-01-03 |
| 1508257346 | Christina Wei,phd,rn,pmhnp-bc,pllc | Clinic/Center | 4242 Woodcock Dr Ste 201, San Antonio, TX 78228-1325 | 2015-02-16 |
| 1821279779 | Eating Disorder Center At San Antonio | Clinic/Center | 515 Busby Dr, San Antonio, TX 78209-1116 | 2007-11-20 |
| 1346433398 | United Black and Brown | Clinic/Center | 648 Delmar St, San Antonio, TX 78210-2466 | 2007-08-23 |
| 1578685277 | Recovery Behavioral Health of San Antonio LLC | Clinic/Center | 10515 Gulfdale St, Suite 111, San Antonio, TX 78216-3667 | 2007-04-04 |
| 1982753448 | Our Lady of The Lake University | Clinic/Center | 590 N General Mcmullen Dr, 3, San Antonio, TX 78228-6205 | 2007-01-10 |
| 1679685481 | Avalon Social Services Inc | Clinic/Center | 1731 N Comal St, San Antonio, TX 78258 | 2006-08-31 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78213 |
Please comment or provide details below to improve the information on ENLIGHTENED BEHAVIORAL HEALTH SYSTEMS, L.L.C..
| 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.