Provider Demographics
NPI:1356126874
Name:TOVAR, CARLA (MA, PHD)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:TOVAR
Suffix:
Gender:F
Credentials:MA, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19106 N HWY 281 STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4988
Mailing Address - Country:US
Mailing Address - Phone:888-374-5066
Mailing Address - Fax:719-623-0165
Practice Address - Street 1:19106 N HWY 281 STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4988
Practice Address - Country:US
Practice Address - Phone:888-374-5066
Practice Address - Fax:719-623-0165
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73257101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional