Provider Demographics
NPI:1942470968
Name:THERAPEUTIC MANAGEMENT SYSTEMS
Entity Type:Organization
Organization Name:THERAPEUTIC MANAGEMENT SYSTEMS
Other - Org Name:ADHD & DEPRESSION CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:210-248-6618
Mailing Address - Street 1:9019 SWINBURNE CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3637
Mailing Address - Country:US
Mailing Address - Phone:210-248-6618
Mailing Address - Fax:210-745-1935
Practice Address - Street 1:9019 SWINBURNE CT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3637
Practice Address - Country:US
Practice Address - Phone:210-248-6618
Practice Address - Fax:210-745-1935
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THEREPEUTIC MANAGEMENT SYSTEMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-05
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty