Provider Demographics
NPI:1043253289
Name:BERKMAN, LAURI (LPC)
Entity type:Individual
Prefix:MRS
First Name:LAURI
Middle Name:
Last Name:BERKMAN
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 1:13915 BLENHEIN RDG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1994
Mailing Address - Country:US
Mailing Address - Phone:210-861-7281
Mailing Address - Fax:
Practice Address - Street 1:900 NE LOOP 410 STE D200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1407
Practice Address - Country:US
Practice Address - Phone:210-861-7281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18878101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional