Provider Demographics
NPI:1427126218
Name:LEWENTHAL, CARMEN C (LPC LMFT)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:C
Last Name:LEWENTHAL
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E TERRA ALTA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:210-822-6144
Mailing Address - Fax:210-826-1021
Practice Address - Street 1:1550 NE LOOP 410
Practice Address - Street 2:# 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209
Practice Address - Country:US
Practice Address - Phone:210-822-6144
Practice Address - Fax:210-826-1021
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08381101YM0800X
TX645106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6544LCOtherBLUE CROSS BLUE SHIELD