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Organization
RADIUS PSYCHOTHERAPY PLLC
Active
Organization
RADIUS PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM M AVILA MS, LPC (DIRECTOR)
(210) 852-1663
Entity
Organization
Contact information
Practice address
111 CAMARGO ST, SAN ANTONIO, TX 78210-1011
(210) 852-1663
Mailing address
111 CAMARGO ST, SAN ANTONIO, TX 78210-1011
(210) 852-1663
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/17/2018
Last updated
02/18/2022
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