Provider Demographics
NPI:1356711592
Name:ALAMO FAMILY SERVICES
Entity type:Organization
Organization Name:ALAMO FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER LEVEL
Authorized Official - Phone:210-753-1035
Mailing Address - Street 1:2819 WOODCLIFFE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5143
Mailing Address - Country:US
Mailing Address - Phone:210-753-1035
Mailing Address - Fax:210-362-1377
Practice Address - Street 1:2819 WOODCLIFFE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5143
Practice Address - Country:US
Practice Address - Phone:210-753-1035
Practice Address - Fax:210-362-1377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17270101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty