Provider Demographics
NPI:1164099065
Name:FLORES, GLORIA ELENA (M ED)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:ELENA
Last Name:FLORES
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 N 7TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-1627
Mailing Address - Country:US
Mailing Address - Phone:956-648-4975
Mailing Address - Fax:
Practice Address - Street 1:1201 BRYCE DR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4311
Practice Address - Country:US
Practice Address - Phone:956-323-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82440101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional