| Supportive Psychological Associates, Pllc | |
|
3740 Colony Dr Ste 122 San Antonio TX 78230-2290 | |
| (210) 416-4238 | |
| Not Available |
| Full Name | Supportive Psychological Associates, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3740 Colony Dr Ste 122, San Antonio, Texas |
| Authorized Official Name and Position | Rene Lucio (ADMINISTRATOR) |
| Authorized Official Contact | 9562156735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Psychological Associates, Pllc 5434 Timber Trace St San Antonio TX 78250-4442 Ph: (956) 215-6735 | Supportive Psychological Associates, Pllc 3740 Colony Dr Ste 122 San Antonio TX 78230-2290 Ph: (210) 416-4238 |
| NPI Number | 1144836412 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 09/03/2025 |
| Certification Date | 09/03/2025 |
| Medicare PECOS PAC ID | 5597103838 |
|---|---|
| Medicare Enrollment ID | O20240404003080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144836412 | NPI | - | NPPES |
| 468723801 | Medicaid | TX |
| Provider Name | Claudia I Castaneda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689130668 PECOS PAC ID: 0547609166 Enrollment ID: I20240417002578 |
| Provider Name | Ramon A Gonzales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467832287 PECOS PAC ID: 4880972413 Enrollment ID: I20240503002042 |
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