Provider Demographics
NPI:1548783194
Name:BEHRENS, CAROLINE GAINES (CPC)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:GAINES
Last Name:BEHRENS
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 EMPORIA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-4054
Mailing Address - Country:US
Mailing Address - Phone:210-288-3392
Mailing Address - Fax:
Practice Address - Street 1:3619 PAESANOS PKWY STE 302
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78231-1259
Practice Address - Country:US
Practice Address - Phone:888-509-2306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)