Provider Demographics
NPI:1467718197
Name:IN GODS HANDS CHRISTIAN COUNSELING PC C/O PATRICIA J. FERNANDEZ
Entity Type:Organization
Organization Name:IN GODS HANDS CHRISTIAN COUNSELING PC C/O PATRICIA J. FERNANDEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-890-5823
Mailing Address - Street 1:1100 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-3530
Mailing Address - Country:US
Mailing Address - Phone:830-890-5823
Mailing Address - Fax:830-890-5824
Practice Address - Street 1:1100 MAIN ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-3530
Practice Address - Country:US
Practice Address - Phone:830-890-5823
Practice Address - Fax:830-890-5824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89354LOtherBC BS
TX207333001Medicaid