Provider Demographics
NPI:1033399936
Name:SERVIN-LOPEZ, SELIA F (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SELIA
Middle Name:F
Last Name:SERVIN-LOPEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 N ED CAREY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8798
Mailing Address - Country:US
Mailing Address - Phone:956-421-5708
Mailing Address - Fax:
Practice Address - Street 1:1901 N ED CAREY DR
Practice Address - Street 2:STE 200
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8343
Practice Address - Country:US
Practice Address - Phone:956-421-5708
Practice Address - Fax:956-412-0304
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000356106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist