Provider Demographics
NPI:1154312049
Name:ROGERS, NELI ANDRADE (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:NELI
Middle Name:ANDRADE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 STETSON GRN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7289
Mailing Address - Country:US
Mailing Address - Phone:210-479-3689
Mailing Address - Fax:210-497-4570
Practice Address - Street 1:16601 BLANCO RD
Practice Address - Street 2:SUITE 219
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1914
Practice Address - Country:US
Practice Address - Phone:210-479-3689
Practice Address - Fax:210-497-4570
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004778-042242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health