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Organization
THE MCCULLOUGH CENTER FOR MENTAL HEALTH SERVICES INC
Active
Organization
THE MCCULLOUGH CENTER FOR MENTAL HEALTH SERVICES INC
Active
Other names
McCullough Center For Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CEASAR GARZA LPC (PRESIDENT)
(210) 736-1762
Entity
Organization
Contact information
Practice address
2515 MCCULLOUGH AVE STE 101, SAN ANTONIO, TX 78212-3585
(210) 736-1762
(210) 736-3156
Mailing address
2515 MCCULLOUGH AVE STE 101, SAN ANTONIO, TX 78212-3585
(210) 736-1762
(210) 736-3156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19585
TX
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275790438
GROUP NPI
—
01
—
1477521904
INDIVIDUAL NPI
—
05
—
174358502
—
TX
05
—
198721601
—
TX
05
—
198721602
—
TX
01
—
909681
MEDICARE
—
Enumeration date
05/16/2008
Last updated
04/16/2025
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