Provider Demographics
NPI:1699369611
Name:RINALDI, LILIBETH (LPC)
Entity type:Individual
Prefix:
First Name:LILIBETH
Middle Name:
Last Name:RINALDI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20711 WILDERNESS OAK
Mailing Address - Street 2:STE 107 PMB1008
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-868-3934
Mailing Address - Fax:
Practice Address - Street 1:20711 WILDERNESS OAK
Practice Address - Street 2:STE 107 PMB1008
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-2649
Practice Address - Country:US
Practice Address - Phone:210-868-3934
Practice Address - Fax:866-895-7856
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88980101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8334Medicaid
TX88980OtherTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL