Provider Demographics
NPI:1285496687
Name:TAMEZ, ALETHEA (LMSW)
Entity type:Individual
Prefix:
First Name:ALETHEA
Middle Name:
Last Name:TAMEZ
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WOODS OF BOERNE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2882
Mailing Address - Country:US
Mailing Address - Phone:830-967-7422
Mailing Address - Fax:
Practice Address - Street 1:101 WOODS OF BOERNE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2882
Practice Address - Country:US
Practice Address - Phone:830-967-7422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59140390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program