Provider Demographics
NPI:1730247420
Name:CERVANTES, STEPHEN L (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:L
Last Name:CERVANTES
Suffix:
Gender:M
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 1:1091 HIDDEN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-3050
Mailing Address - Country:US
Mailing Address - Phone:210-858-9330
Mailing Address - Fax:
Practice Address - Street 1:325 E SONTERRA BLVD STE 230
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4056
Practice Address - Country:US
Practice Address - Phone:210-490-9062
Practice Address - Fax:707-455-6037
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health