Provider Demographics
NPI:1427346584
Name:BEAT AIDS COALITION TRUST
Entity type:Organization
Organization Name:BEAT AIDS COALITION TRUST
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:210-212-2266
Mailing Address - Street 1:1017 N MAIN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4721
Mailing Address - Country:US
Mailing Address - Phone:210-212-2266
Mailing Address - Fax:210-271-3600
Practice Address - Street 1:1017 N MAIN
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4721
Practice Address - Country:US
Practice Address - Phone:210-212-2266
Practice Address - Fax:210-271-3600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:31133114
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-11
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1427346584101Y00000X, 101YA0400X, 101YM0800X, 171M00000X, 172A00000X, 172V00000X, 174H00000X, 251B00000X, 291U00000X, 343900000X, 344600000X, 347C00000X
TX3113-3114251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty