MENTAL HEALTH PROFESSIONALS OF SAN ANTONIO
Physician Assistant at Loop 1604, San Antonio, TX

License number
Texas 700915
Category
Physician Assistant
Type
Psychiatric/Mental Health
License number
Texas AP126831
Category
Physician Assistant
Type
Psychiatric/Mental Health
Owner
Name: MISS AMANDA ARIEL KOPLIN LMHC
Title: LICENSED MENTAL HEALTH COUNSELOR
Phone: (210) 865-2484
Address
Address
1703 N Loop 1604 W APT 1203, San Antonio, TX 78258
National Provider ID: 1710384631
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MENTAL HEALTH PROFESSIONALS OF SAN ANTONIO, PLLC

1703 N Loop 1604 W APT 1203, San Antonio, TX 78258

Doing business as:
Mental Health Professionals of San Antonio, Pllc
Registration:
Oct 13, 2014
State ID:
0802081469
Business type:
Domestic Limited Liability Company (LLC)
Manager:
Amanda A. Koplin (Manager)
Agent:
Amanda A Koplin,1703 N Loop 1604 W SUITE 1203, San Antonio, TX 78258 (Physical)
TIN:
32055409075

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