SAGE SOCIAL SERVICES, PA
NPI 1073800892
Counselor - Professional in Converse, TX
- Organization
- Counselor
- Professional
About SAGE SOCIAL SERVICES, PA
This page provides the complete NPI Profile along with additional information for Sage Social Services, Pa, a provider established in Converse, Texas operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1073800892 assigned on June 2011. The practitioner's primary taxonomy code is 101YP2500X with license number 20064 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. Sage Social Services, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Glenda Wrenn-gordon Md (Owner)
- NPI
- 1073800892 Verify this NPI
- Provider Name
- SAGE SOCIAL SERVICES, PA
- Entity Type
- Organization
- Location Address
- 101 PEACEFUL LN CONVERSE, TX 78109
- Location Phone
- (210) 248-9077
- Location Fax
- (210) 945-8489
- Mailing Address
- 101 PEACEFUL LN CONVERSE, TX 78109
- Mailing Phone
- (210) 248-9077
- Mailing Fax
- (210) 945-8489
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2011
- Last Update Date
- 01-13-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 20064
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 27796 (TX) |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073800892, enumerated as an "organization" on June 30, 2011.
The provider is located at 101 PEACEFUL LN CONVERSE, TX 78109 and the phone number is (210) 248-9077.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
