Provider Demographics
NPI:1184842452
Name:OPPORTUNITIES COUNSELING CTR, INC.
Entity Type:Organization
Organization Name:OPPORTUNITIES COUNSELING CTR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALDIVAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:817-360-2983
Mailing Address - Street 1:601 UNIVERSITY DR. STE 105
Mailing Address - Street 2:
Mailing Address - City:FT. WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-2168
Mailing Address - Country:US
Mailing Address - Phone:817-360-2983
Mailing Address - Fax:817-386-5880
Practice Address - Street 1:601 UNIVERSITY DR. STE 105
Practice Address - Street 2:
Practice Address - City:FT. WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-2168
Practice Address - Country:US
Practice Address - Phone:817-360-2983
Practice Address - Fax:817-386-5880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty