Provider Demographics
NPI:1184985277
Name:BENDERNAGEL, MARTIN VOORHIES (LPC, LCDC)
Entity type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:VOORHIES
Last Name:BENDERNAGEL
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10615 PERRIN BEITEL ROAD, SUITE 400
Mailing Address - Street 2:PRIMARY PRACTICE LOCATION
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217
Mailing Address - Country:US
Mailing Address - Phone:210-573-1349
Mailing Address - Fax:210-569-6161
Practice Address - Street 1:5825 CALLAGHAN ROAD, SUITE 200
Practice Address - Street 2:SATELITTE OR SECOND PRACTICE OFFICE
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228
Practice Address - Country:US
Practice Address - Phone:210-573-1349
Practice Address - Fax:210-569-6161
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64871101YP2500X
TX11067101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)