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Organization
LONE STAR REVELATION LLC
Active
Organization
LONE STAR REVELATION LLC
Active
Other names
Revelation Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE A. HERNANDEZ LPC-S (FOUNDER/CEO)
(210) 324-0658
Entity
Organization
Contact information
Practice address
1811 S LAREDO ST STE 111, SAN ANTONIO, TX 78207-7019
(210) 744-4828
(210) 229-8973
Mailing address
1811 S LAREDO ST STE 111, SAN ANTONIO, TX 78207-7019
(210) 324-0658
(210) 229-8973
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
374U00000X
Home Health Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2024
Last updated
02/20/2024
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