Provider Demographics
NPI:1659970390
Name:MAGGIE A CLIFFORD COUNSELING , PLLC
Entity Type:Organization
Organization Name:MAGGIE A CLIFFORD COUNSELING , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CLIFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:210-897-8750
Mailing Address - Street 1:8443 LAVENHAM
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2465
Mailing Address - Country:US
Mailing Address - Phone:210-897-8750
Mailing Address - Fax:833-478-1412
Practice Address - Street 1:18834 STONE OAK PKWY STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4177
Practice Address - Country:US
Practice Address - Phone:210-897-8750
Practice Address - Fax:833-478-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty