Provider Demographics
NPI:1962445833
Name:PALOMINO, ARISBEI HERNANDEZ (LPC)
Entity Type:Individual
Prefix:
First Name:ARISBEI
Middle Name:HERNANDEZ
Last Name:PALOMINO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6147 SUNSET HAVEN ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2417
Mailing Address - Country:US
Mailing Address - Phone:210-607-6864
Mailing Address - Fax:210-561-5909
Practice Address - Street 1:7300 BLANCO RD
Practice Address - Street 2:SUITE501
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4936
Practice Address - Country:US
Practice Address - Phone:210-607-6864
Practice Address - Fax:210-561-5909
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16318101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153237602Medicaid