1467718197 NPI number — IN GODS HANDS CHRISTIAN COUNSELING PC C/O PATRICIA J. FERNANDEZ

Table of content: (NPI 1467718197)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467718197 NPI number — IN GODS HANDS CHRISTIAN COUNSELING PC C/O PATRICIA J. FERNANDEZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IN GODS HANDS CHRISTIAN COUNSELING PC C/O PATRICIA J. FERNANDEZ
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467718197
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KERRVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78028-3530
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-890-5823
Provider Business Mailing Address Fax Number:
830-890-5824

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KERRVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78028-3530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-890-5823
Provider Business Practice Location Address Fax Number:
830-890-5824
Provider Enumeration Date:
04/06/2012

Additional Information

Authorized Official

Authorized Official Last Name:
LOZANO
Authorized Official First Name:
MARY HELEN
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
830-890-5823

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 89354L . This is a "BC BS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 207333001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com