Provider Demographics
NPI:1033395959
Name:ALBERT J VARELA CENTER FOR EMPLOYEE ASSISTANCE
Entity Type:Organization
Organization Name:ALBERT J VARELA CENTER FOR EMPLOYEE ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:VARELA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LCSW
Authorized Official - Phone:915-544-7980
Mailing Address - Street 1:2310 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-3604
Mailing Address - Country:US
Mailing Address - Phone:915-544-7980
Mailing Address - Fax:915-577-0809
Practice Address - Street 1:2310 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-3604
Practice Address - Country:US
Practice Address - Phone:915-544-7980
Practice Address - Fax:915-577-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX054621041C0700X
TX4272106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty