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Derek H Elder Lpc Pllc
Adolescent and Children Mental Health Clinic/Center in San Antonio, Texas
NPI 1912405242

Derek H Elder Lpc Pllc is an Adolescent and Children Mental Health Clinic/Center based in San Antonio, TX and is specialized in Adolescent and Children Mental Health. Derek H Elder Lpc Pllc practices in San Antonio, TX. The NPI Number for Derek H Elder Lpc Pllc is 1912405242 and holds a License No. 63638 (Texas).

The current practice location address for Derek H Elder Lpc Pllc is 16607 Blanco Rd Ste 502, San Antonio, TX and can be reached out via phone at 210-326-4663 and via fax at 210-428-6454.

Location: 16607 Blanco Rd Ste 502, San Antonio, TX, 78232-1910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912405242
Provider Name
Derek H Elder Lpc Pllc
Credential
Provider Entity Type
Organization
Address
16607 Blanco Rd Ste 502, San Antonio, TX, 78232-1910
Phone Number
210-326-4663
Fax Number
210-428-6454
Provider Enumeration Date
02/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
281324801 05 TX
institution
Provider Business Practice Location Address Details
Address
16607 Blanco Rd Ste 502
City
San Antonio
State
Texas
Zip
78232-1910
Phone Number
210-326-4663
Fax Number
210-428-6454
person
Provider Business Mailing Address Details
Address
16607 Blanco Rd Ste 502
City
San Antonio
State
Texas
Zip
78232-1910
Phone Number
210-326-4663
Fax Number
210-428-6454
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
63638 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
63638 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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