| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TAWANNA M HUDSON | 1164037537 | 2021-10-10 |
Tawanna M Hudson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164037537. Registration indicates Tawanna M Hudson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Mrs. Tawanna M Hudson LCSW |
| Practice Office Address | 24028 GAVARRA SAN ANTONIO, TX US |
| Practice Office Telephone | 2109371049 |
| Practice Office Fax | 2107831054 |
| Mailing Address | 24028 GAVARRA SAN ANTONIO, TX 782612971 US |
| Business Telephone | 2109371049 |
| Business Fax | 2107831054 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 24028 Gavarra | San Antonio, TX 782612971 | 2109371049 / 2107831054 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 59095
TX |