Provider Demographics
NPI:1043892698
Name:VIRTUOUS COUNSELING CENTER, PLLC
Entity Type:Organization
Organization Name:VIRTUOUS COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HANNOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-637-3373
Mailing Address - Street 1:85 NE LOOP 410 STE 223
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5829
Mailing Address - Country:US
Mailing Address - Phone:210-637-3373
Mailing Address - Fax:888-780-7595
Practice Address - Street 1:85 NE LOOP 410 STE 223
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5829
Practice Address - Country:US
Practice Address - Phone:210-637-3373
Practice Address - Fax:888-780-7595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX317433604Medicaid