Provider Demographics
NPI:1790232932
Name:BILLIE VESELY
Entity Type:Organization
Organization Name:BILLIE VESELY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VESELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-683-3284
Mailing Address - Street 1:130 TALAVERA PKWY
Mailing Address - Street 2:APARTMENT 2313
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1011
Mailing Address - Country:US
Mailing Address - Phone:913-683-3284
Mailing Address - Fax:
Practice Address - Street 1:130 TALAVERA PKWY
Practice Address - Street 2:APARTMENT 2313
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1011
Practice Address - Country:US
Practice Address - Phone:913-683-3284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0333251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health