Provider Demographics
NPI:1265238703
Name:HEBERT, GENEVIEVE (LCDC, LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:HEBERT
Suffix:
Gender:F
Credentials:LCDC, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 ELMHURST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-6526
Mailing Address - Country:US
Mailing Address - Phone:210-912-2619
Mailing Address - Fax:
Practice Address - Street 1:215 ELMHURST AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-6526
Practice Address - Country:US
Practice Address - Phone:210-912-2619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13690101YA0400X
TX96794101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)