Provider Demographics
NPI:1083949606
Name:PFLIPSEN ENTERPRISES
Entity Type:Organization
Organization Name:PFLIPSEN ENTERPRISES
Other - Org Name:PFLIPSEN AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:PFLIPSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:210-302-8226
Mailing Address - Street 1:P.O. BOX 40097
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-302-8226
Mailing Address - Fax:210-641-0545
Practice Address - Street 1:9901 IH 10 W
Practice Address - Street 2:SUITE 800
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2246
Practice Address - Country:US
Practice Address - Phone:210-302-8226
Practice Address - Fax:210-641-0545
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PFLIPSEN ENTERPRISES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-15
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101Y00000X
TX318831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty