Provider Demographics
NPI:1548939903
Name:SAN ANTONIO AUTHENTIC COUNSELING LLC
Entity type:Organization
Organization Name:SAN ANTONIO AUTHENTIC COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLINT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:915-588-4690
Mailing Address - Street 1:4100 E PIEDRAS DR STE 162
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-2502
Mailing Address - Country:US
Mailing Address - Phone:210-480-3995
Mailing Address - Fax:
Practice Address - Street 1:4100 E PIEDRAS DR STE 162
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-2502
Practice Address - Country:US
Practice Address - Phone:210-480-3995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty