Mr. Tyrone Samuel Charles Jr. (NPI# 1528688165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1528688165 |
| Entity Type | Individual |
| Full Name | Mr. Tyrone Samuel Charles Jr. |
| Credential | LPC, LCDC |
| Gender | Male |
| Practice Address |
5312 Cilantro Pl San Antonio TX 78238-2346 |
| Practice Telephone | 2103061412 |
| Mailing Address |
5312 Cilantro Pl San Antonio TX 78238-2346 |
| Mailing Telephone | 2103061412 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| No | 101YA0400X | Counselor · Addiction (Substance Use Disorder) | Behavioral Health & Social Service Providers | 14849 | TX |
| Yes | 101YP2500X | Counselor · Professional | Behavioral Health & Social Service Providers | 80365 | TX |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740201391 | Tyrone Charles | Counselor | 4325 Laurel St, Suite 245, Anchorage, AK 99508-5338 | 2006-07-21 |
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387847 | Donna K Deadman | Counselor | 20202 Cresta Avenida Apt 6108, San Antonio, TX 78256-1706 | 2020-05-09 |
| 1134740806 | Claire Bauerlein Fallin | Counselor | 13117 Brook Arbor, San Antonio, TX 78232-4823 | 2020-05-04 |
| 1356962229 | Valerie J Moczygemba | Counselor | 4211 Gardendale St Ste A205, San Antonio, TX 78229-3180 | 2020-05-02 |
| 1104455518 | Lamonica Shantae Armond | Counselor | 13306 Possum Circle, San Antonio, TX 78232 | 2020-04-07 |
| 1487282414 | Debra Pitts | Counselor | 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 | 2020-03-27 |
| 1093343071 | Hope Village Wellness Center | Counselor | 8206 Roughrider Drive #201, San Antonio, TX 78239 | 2020-03-27 |
| 1366076077 | Kyle Tracy Roberts | Counselor | 1245 Edison Dr, San Antonio, TX 78201-3601 | 2020-03-03 |
| 1003440694 | Nicholas Harral Counseling Pllc | Counselor | 18615 Windcliffe, San Antonio, TX 78259-3653 | 2020-02-24 |
| 1427689280 | Green Mountain Counseling Pllc | Counselor | 708 W Summit Ave, San Antonio, TX 78212-2746 | 2020-01-30 |
| 1790316099 | Leah Alviar | Counselor | 12711 Blackstone Ct, San Antonio, TX 78259-2613 | 2020-01-27 |
| Find all providers in SAN ANTONIO | ||||
| Street Address |
5312 CILANTRO PL |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78238-2346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857360 | Danielle Renee De Luna | Counselor | 5505 Lost Lane, San Antonio, TX 78238 | 2019-12-05 |
| 1013444777 | Avery Rodriguez | Physical Therapy Assistant | 5270 Bandera Rd Ste 14, San Antonio, TX 78238 | 2017-05-12 |
| 1760898894 | Silas Pimentel | Counselor | 5720 Bandera Rd Ste 14, San Antonio, TX 78238 | 2014-07-09 |
| 1942550553 | Stanley Toh Forze | Registered Nurse | 6933 Border Brk Apt 1910, San Antonio, TX 78238 | 2012-09-12 |
| 1891004032 | Texan Smile Dentistry 3 PC | Dentist | 5983 Bandera Rd., San Antonio, TX 78238 | 2010-10-06 |
| 1275847683 | Deborah Michelle Solorzano | Dentist | 5715 Evers Road, San Antonio, TX 78238 | 2010-07-28 |
| 1437479532 | Rithy Sok | Emergency Medicine | 5840 Grass Hill Dr, San Antonio, TX 78238 | 2010-06-11 |
| 1932436326 | Campos Family Dental, P.C. | Dentist | 6140 Wurzbach Road, San Antonio, TX 78238 | 2009-11-06 |
| 1063665495 | Benjamino L Granato | Durable Medical Equipment & Medical Supplies | 6415 Bandera, San Antonio, TX 78238 | 2008-10-29 |
| 1891962262 | Gerald L Froemming | Dentist | 6436 Bandera Road, #1, San Antonio, TX 78238 | 2008-05-14 |
| Find all providers in zip 78238 | ||||
| City | SAN ANTONIO |
| Zip Code | 78238 |
Please comment or provide details below to improve the information on Mr. Tyrone Samuel Charles Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.