Organization
EXTRORDINARY COUNSELING
Active
Other names
EXTRORDINARY COUNSELING
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZYLPHIA MARIE BEVERLY LPC-S,LCDC,NCC (COUNSELOR/OWNER)
(210) 632-8966
Entity
Organization
Contact information
Practice address
2803 E COMMERCE ST, SAN ANTONIO, TX 78203-2201
(210) 632-8966
(210) 337-7850
Mailing address
315 ASTORIA DR, SAN ANTONIO, TX 78220-1601
(210) 632-8966
(210) 337-7850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9784
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
6238
TX
101YM0800X
Mental Health Counselor
9784
TX
101YP2500X
Professional Counselor
9784
TX
106H00000X
Marriage & Family Therapist
9784
TX
251S00000X
Community/Behavioral Health Agency
Primary
9784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095707801
—
TX
05
—
095707803
—
TX
05
—
095707804
—
TX
01
—
1750329124
NPI TYPE I
—
Enumeration date
08/02/2011
Last updated
08/02/2011
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