Provider Demographics
NPI:1154050367
Name:DEEM, ALI (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ALI
Middle Name:
Last Name:DEEM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14834 ACADEMY OAK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3547
Mailing Address - Country:US
Mailing Address - Phone:304-382-7560
Mailing Address - Fax:
Practice Address - Street 1:140 HEIMER RD UNIT 4
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-5028
Practice Address - Country:US
Practice Address - Phone:210-253-9763
Practice Address - Fax:210-255-1681
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84406101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional