Provider Demographics
NPI:1255469037
Name:KUHLMANN, ERVILENE F (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERVILENE
Middle Name:F
Last Name:KUHLMANN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 SHAFTER ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76901-4660
Mailing Address - Country:US
Mailing Address - Phone:325-655-0530
Mailing Address - Fax:
Practice Address - Street 1:2141 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-6836
Practice Address - Country:US
Practice Address - Phone:325-942-9798
Practice Address - Fax:325-942-9798
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX094901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125373OtherTRICARE
TX00S04WOtherBLUE CROSS
TX06394520Medicaid
TX00S04WMedicare ID - Type Unspecified