Provider Demographics
NPI:1164442448
Name:VLATTAS, LYNDA RODRIGUEZ (LPC LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:RODRIGUEZ
Last Name:VLATTAS
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 CLEMENTSON DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-6280
Mailing Address - Country:US
Mailing Address - Phone:210-383-2509
Mailing Address - Fax:
Practice Address - Street 1:1534 CLEMENTSON DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-6280
Practice Address - Country:US
Practice Address - Phone:210-383-2509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC14058101Y00000X
TXLMFT4781104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker