| Life Designs | |
|
400 N Loop 1604 E Suite 175 San Antonio TX 78232-1258 | |
| (210) 632-4147 | |
| (210) 545-4495 |
| Full Name | Life Designs |
|---|---|
| Speciality | Counselor - Professional |
| Location | 400 N Loop 1604 E, San Antonio, Texas |
| Authorized Official Name and Position | Diane M Cantrell (OWNER) |
| Authorized Official Contact | 2106324147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Designs 400 N Loop 1604 E Suite 175 San Antonio TX 78232-1258 Ph: (210) 632-4147 | Life Designs 400 N Loop 1604 E Suite 175 San Antonio TX 78232-1258 Ph: (210) 632-4147 |
| NPI Number | 1306104732 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306104732 | NPI | - | NPPES |
| 121917208 | Medicaid | TX | |
| 11864139 | Other | TX | CAQH |
| 121917208 | Other | TX | TPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 12275 (Texas) | Primary |
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