Provider Demographics
NPI:1821766635
Name:BERGMANN COUNSELING PLLC
Entity Type:Organization
Organization Name:BERGMANN COUNSELING PLLC
Other - Org Name:COLLABORATIVE COUNSELING OF SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:210-596-9142
Mailing Address - Street 1:8632 FREDERICKSBURG RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1264
Mailing Address - Country:US
Mailing Address - Phone:210-596-9142
Mailing Address - Fax:
Practice Address - Street 1:8632 FREDERICKSBURG RD STE 202
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1264
Practice Address - Country:US
Practice Address - Phone:210-596-9142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-06
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty