Provider Demographics
NPI:1275943839
Name:4DAVIDCANTU, LLC
Entity Type:Organization
Organization Name:4DAVIDCANTU, LLC
Other - Org Name:COMFORT IN COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:210-977-0261
Mailing Address - Street 1:4811 FREDERICKSBURG RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3661
Mailing Address - Country:US
Mailing Address - Phone:210-977-0261
Mailing Address - Fax:210-977-0263
Practice Address - Street 1:4811 FREDERICKSBURG RD
Practice Address - Street 2:SUITE B
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3661
Practice Address - Country:US
Practice Address - Phone:210-977-0261
Practice Address - Fax:210-977-0263
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMFORT IN COUNSELING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-05
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX545351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty