Provider Demographics
NPI:1265879092
Name:LIFE BEGINS ANEW COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:LIFE BEGINS ANEW COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC-S
Authorized Official - Prefix:MS
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA,
Authorized Official - Phone:210-846-1091
Mailing Address - Street 1:3740 COLONY DR.
Mailing Address - Street 2:SUITE 122
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2234
Mailing Address - Country:US
Mailing Address - Phone:210-846-1091
Mailing Address - Fax:210-541-0173
Practice Address - Street 1:3740 COLONY DR.
Practice Address - Street 2:SUITE 122
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2234
Practice Address - Country:US
Practice Address - Phone:210-846-1091
Practice Address - Fax:210-541-0173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64833101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1356578827OtherNPI
TX203338301Medicaid