| Reliance Behavioral Health, P.c. | |
|
13014 Kings Forest St San Antonio TX 78230-1515 | |
| (210) 744-5863 | |
| (210) 479-1959 |
| Full Name | Reliance Behavioral Health, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 13014 Kings Forest St, San Antonio, Texas |
| Authorized Official Name and Position | Michael John Crook (PRESIDENT) |
| Authorized Official Contact | 2107445863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Behavioral Health, P.c. Po Box 690864 San Antonio TX 78269-0864 Ph: (210) 744-5863 | Reliance Behavioral Health, P.c. 13014 Kings Forest St San Antonio TX 78230-1515 Ph: (210) 744-5863 |
| NPI Number | 1033294608 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335110600 |
|---|---|
| Medicare Enrollment ID | O20040802001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033294608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | 16832 (Texas) | Primary |
| Provider Name | Benjamin Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306919840 PECOS PAC ID: 4789731357 Enrollment ID: I20090416000699 |
| Provider Name | Mary Ellen Mcnaughton-cassill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164682183 PECOS PAC ID: 0840413167 Enrollment ID: I20140514000344 |
| Provider Name | Courtney E Paige |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407237431 PECOS PAC ID: 5496068637 Enrollment ID: I20150717000603 |
| Provider Name | Nancy Elizabeth Malley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306163415 PECOS PAC ID: 7416326723 Enrollment ID: I20221208001700 |
| Provider Name | Isamar Santos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659015147 PECOS PAC ID: 8325496565 Enrollment ID: I20231128002123 |
| Provider Name | Erika Von Loewe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255376208 PECOS PAC ID: 5890157416 Enrollment ID: I20231128003818 |
| Provider Name | Catherine Anne Laraya Cuasay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023200359 PECOS PAC ID: 7012366800 Enrollment ID: I20231205002291 |
| Provider Name | Barbara Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023390838 PECOS PAC ID: 1759730336 Enrollment ID: I20231207002998 |
| Provider Name | Nicholas Harral |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760695258 PECOS PAC ID: 4688023096 Enrollment ID: I20231211002729 |
| Provider Name | Melissa Tejeda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124666169 PECOS PAC ID: 9931558913 Enrollment ID: I20231215002497 |
| Provider Name | Elizabeth Renae Duke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316448970 PECOS PAC ID: 7113378688 Enrollment ID: I20240109002602 |
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