SOUTH TEXAS LIBERTY ALLIANCE GROUP, INC (NPI# 1679916829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679916829 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS LIBERTY ALLIANCE GROUP, INC |
| Practice Address |
11202 Disco San Antonio TX 78216-2860 |
| Practice Telephone | 2104952797 |
| Mailing Telephone | 2104952797 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | MRS. BRITTANY J DODSON (VICE PRESIDENT) |
| Authorized Official Telephone | 2104952797 |
| Authorized Official Credential | CRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
11202 DISCO |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366630063 | Mark F Jones | Marriage & Family Therapist | 11202 Disco, San Antonio, TX 78216-2860 | 2007-10-09 |
| 1932697869 | Johanna Rodriguez-becho | Marriage & Family Therapist | 11202 Disco, San Antonio, TX 78216-2860 | 2018-04-26 |
| 1831686351 | Larry Matthew Vanhook | Marriage & Family Therapist | 11202 Disco, San Antonio, TX 78216-2860 | 2018-04-19 |
| 1801399134 | Alicia Estelle Scott | Counselor | 11202 Disco, San Antonio, TX 78216-2860 | 2018-03-13 |
| 1801318985 | Brittany J Jones | Counselor | 11202 Disco, San Antonio, TX 78216-2860 | 2017-07-11 |
| 1689195596 | Michael Paul Benitez | Counselor | 11202 Disco, San Antonio, TX 78216-2860 | 2017-06-30 |
| 1598901258 | Mark Jones Ministries | Counselor | 11202 Disco, San Antonio, TX 78216-2860 | 2008-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011047 | Concentric Counseling and Coaching, Pllc | Counselor | 7113 San Pedro Ave # 493, San Antonio, TX 78216-6219 | 2020-10-21 |
| 1609473685 | Juliana Guadamuz | Counselor | 5919 Cliff Valley Dr, San Antonio, TX 78250-3921 | 2020-10-03 |
| 1639786635 | Lara Durand Stern | Counselor | 1153 Mesa Blanca, San Antonio, TX 78248-2613 | 2020-09-24 |
| 1326651290 | Olga M Luquis | Counselor | 10471 Tippecanoe, San Antonio, TX 78245-3131 | 2020-08-28 |
| 1447869094 | Sofia Andrea De La Garza | Counselor | 5811 Ben Casey Dr, San Antonio, TX 78240-3418 | 2020-07-29 |
| 1285242131 | Robert Edward Williamson | Counselor | 9939 Fredericksburg Rd Apt 815, San Antonio, TX 78240-4153 | 2020-07-16 |
| 1972121085 | Charles Jones | Counselor | 6018 Upland Vw, San Antonio, TX 78244-1752 | 2020-07-07 |
| 1013535152 | Glynis Fresia | Counselor | 23007 Casey Cyn, San Antonio, TX 78255-1051 | 2020-07-06 |
| 1235753161 | Tiffany Bridgers | Counselor | 6320 Village Arbor, San Antonio, TX 78250-5752 | 2020-06-06 |
| 1972127983 | Diana Sue Rangel-duncan | Counselor | 3234 Morning Crk, San Antonio, TX 78247-3326 | 2020-06-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on SOUTH TEXAS LIBERTY ALLIANCE GROUP, INC.
| 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.