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Organization

SUPPORTIVE PSYCHOLOGICAL ASSOCIATES, PLLC

Active
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Organization

SUPPORTIVE PSYCHOLOGICAL ASSOCIATES, PLLC

Active
Other names
SPA, PLLC, Supportive Psychological Associates
Organization subpart
No

Provider details

NPI number
Authorized official
RENE LUCIO (ADMINISTRATOR)
(956) 215-6735
Entity
Organization

Contact information

Practice address
3740 COLONY DR STE 122, SAN ANTONIO, TX 78230-2290
(210) 416-4238
Mailing address
5434 TIMBER TRACE ST, SAN ANTONIO, TX 78250-4442
(956) 215-6735

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468723801
—
TX
Enumeration date
09/21/2020
Last updated
09/03/2025
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