Organization
DEREK H ELDER LPC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK HARTLEY ELDER LPC (COUNSELOR)
(210) 326-4663
Entity
Organization
Contact information
Practice address
16607 BLANCO RD STE 502, SAN ANTONIO, TX 78232-1910
(210) 326-4663
(210) 428-6454
Mailing address
16607 BLANCO RD STE 502, SAN ANTONIO, TX 78232-1910
(210) 326-4663
(210) 428-6454
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
63638
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
63638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281324801
—
TX
Enumeration date
02/01/2018
Last updated
02/01/2018
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