Provider Demographics
NPI:1063280733
Name:NURTUHER
Entity type:Organization
Organization Name:NURTUHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:C
Authorized Official - Last Name:URBINA
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, LPC
Authorized Official - Phone:915-929-2804
Mailing Address - Street 1:21750 HARDY OAK BLVD
Mailing Address - Street 2:STE 104 #916318
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1218 NASHUA SQ
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-2079
Practice Address - Country:US
Practice Address - Phone:915-257-4909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty