Provider Demographics
NPI:1376145250
Name:SPRING OAKS COUNSELING, LLC
Entity Type:Organization
Organization Name:SPRING OAKS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILINGUAL COUNSELOR/ FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIDIA
Authorized Official - Middle Name:IVETH
Authorized Official - Last Name:VALADEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:956-325-3046
Mailing Address - Street 1:16607 BLANCO RD STE 502
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1910
Mailing Address - Country:US
Mailing Address - Phone:956-325-3046
Mailing Address - Fax:
Practice Address - Street 1:15303 HUEBNER RD STE 3
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-0982
Practice Address - Country:US
Practice Address - Phone:210-384-2931
Practice Address - Fax:210-783-8761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-15
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3662694-01Medicaid