Provider Demographics
NPI:1013469477
Name:PROGRESSING MINDS, PLLC
Entity Type:Organization
Organization Name:PROGRESSING MINDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LIZBETH
Authorized Official - Middle Name:KARINA
Authorized Official - Last Name:GARCIA-BRAVO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:210-239-1399
Mailing Address - Street 1:18838 STONE OAK PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4179
Mailing Address - Country:US
Mailing Address - Phone:210-239-1399
Mailing Address - Fax:
Practice Address - Street 1:18838 STONE OAK PKWY STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4179
Practice Address - Country:US
Practice Address - Phone:210-239-1399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2023-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34290103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty