Provider Demographics
NPI:1063199743
Name:SELFJOURNEY COUNSELING PLLC
Entity type:Organization
Organization Name:SELFJOURNEY COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:ALANIS-GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:210-617-3602
Mailing Address - Street 1:7550 W INTERSTATE 10 STE 80088
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5803
Mailing Address - Country:US
Mailing Address - Phone:210-617-3602
Mailing Address - Fax:
Practice Address - Street 1:7550 W INTERSTATE 10 STE 80088
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5803
Practice Address - Country:US
Practice Address - Phone:210-617-3602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty