# DEREK H ELDER LPC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912405242
- **Authorized official:** MR. DEREK HARTLEY ELDER LPC (COUNSELOR)
- **Authorized official phone:** (210) 326-4663

## Contact information

- **Practice address:** 16607 BLANCO RD STE 502, SAN ANTONIO, TX 78232-1910
- **Practice address phone:** (210) 326-4663
- **Practice address fax:** (210) 428-6454
- **Mailing address:** 16607 BLANCO RD STE 502, SAN ANTONIO, TX 78232-1910
- **Mailing address phone:** (210) 326-4663
- **Mailing address fax:** (210) 428-6454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 63638 | TX | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 63638 | TX | Yes |

## Other

- **Enumeration date:** 02/01/2018
- **Last updated:** 02/01/2018