Provider Demographics
NPI:1598852915
Name:LUNA, SYLVIA (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:LUNA
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 BABCOCK RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-3116
Mailing Address - Country:US
Mailing Address - Phone:210-393-3664
Mailing Address - Fax:210-305-5156
Practice Address - Street 1:222 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3116
Practice Address - Country:US
Practice Address - Phone:210-393-3664
Practice Address - Fax:210-641-2940
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70923101YP2500X
TX7790101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)