Provider Demographics
NPI:1750646527
Name:COUNSELING AND THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:COUNSELING AND THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BARCLAY
Authorized Official - Last Name:JESSUP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-875-1414
Mailing Address - Street 1:430 W ELSMERE PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-2253
Mailing Address - Country:US
Mailing Address - Phone:210-875-1414
Mailing Address - Fax:210-731-8773
Practice Address - Street 1:430 W ELSMERE PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-2253
Practice Address - Country:US
Practice Address - Phone:210-875-1414
Practice Address - Fax:210-731-8773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18957251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health