Provider Demographics
NPI:1619006558
Name:VALENTIN REYES, OLGA (LPC)
Entity Type:Individual
Prefix:MS
First Name:OLGA
Middle Name:
Last Name:VALENTIN REYES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 AUGUSTA ST
Mailing Address - Street 2:STE 203
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1643
Mailing Address - Country:US
Mailing Address - Phone:210-687-2263
Mailing Address - Fax:
Practice Address - Street 1:3678 HIDDEN DR
Practice Address - Street 2:UNIT 1002
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4678
Practice Address - Country:US
Practice Address - Phone:210-687-2263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14519101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0958381-04Medicaid