Provider Demographics
| NPI: | 1023789823 |
|---|---|
| Name: | PRECISION COUNSELING |
| Entity type: | Organization |
| Organization Name: | PRECISION COUNSELING |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | RICHARD |
| Authorized Official - Middle Name: | PAUL |
| Authorized Official - Last Name: | GREEN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LCDC |
| Authorized Official - Phone: | 210-627-4017 |
| Mailing Address - Street 1: | 7400 BLANCO RD STE 126 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SAN ANTONIO |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78216-4361 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 210-627-4017 |
| Mailing Address - Fax: | 210-579-4017 |
| Practice Address - Street 1: | 7400 BLANCO RD STE 126 |
| Practice Address - Street 2: | |
| Practice Address - City: | SAN ANTONIO |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 78216-4361 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 210-627-4017 |
| Practice Address - Fax: | 210-579-4017 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-09-22 |
| Last Update Date: | 2024-07-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | Group - Multi-Specialty |
| No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
| No | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | Forensic | Group - Multi-Specialty |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
| No | 170100000X | Other Service Providers | Medical Genetics, Ph.D. Medical Genetics | Group - Multi-Specialty | |
| No | 175T00000X | Other Service Providers | Peer Specialist | Group - Multi-Specialty | |
| Yes | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | Group - Multi-Specialty |
