Provider Demographics
NPI:1043452600
Name:GEORGE, LOUIS JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:
Last Name:GEORGE
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:LOUIS
Other - Middle Name:
Other - Last Name:GEORGE
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2613 WESTWOOD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-1872
Mailing Address - Country:US
Mailing Address - Phone:956-454-2770
Mailing Address - Fax:956-440-9221
Practice Address - Street 1:2613 WESTWOOD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-1872
Practice Address - Country:US
Practice Address - Phone:956-454-2770
Practice Address - Fax:956-440-9221
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-28
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical