Provider Demographics
NPI:1306656731
Name:SILVA, PATRICIA AZENETH (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:AZENETH
Last Name:SILVA
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20403 ENCINO LEDGE UNIT 592581
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-0867
Mailing Address - Country:US
Mailing Address - Phone:210-294-4264
Mailing Address - Fax:
Practice Address - Street 1:20403 ENCINO LEDGE UNIT 592581
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-0867
Practice Address - Country:US
Practice Address - Phone:210-294-4264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96692101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health