Provider Demographics
NPI:1033697453
Name:VERONICA MARTINEZ, COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:VERONICA MARTINEZ, COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPC, MED, LPC
Authorized Official - Phone:956-616-1039
Mailing Address - Street 1:307 W. NEWCOMBE
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-4816
Mailing Address - Country:US
Mailing Address - Phone:956-616-1039
Mailing Address - Fax:956-322-4436
Practice Address - Street 1:307 W. NEWCOMBE
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-4816
Practice Address - Country:US
Practice Address - Phone:956-616-1039
Practice Address - Fax:956-322-4436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid