Provider Demographics
NPI:1225261803
Name:LA FAMILIA CONSULTING & COUNSELING
Entity Type:Organization
Organization Name:LA FAMILIA CONSULTING & COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:GERARDO
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCDC
Authorized Official - Phone:956-795-0948
Mailing Address - Street 1:1319 CORPUS CHRISTI ST
Mailing Address - Street 2:SUITE # 1
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-5356
Mailing Address - Country:US
Mailing Address - Phone:956-795-0948
Mailing Address - Fax:956-795-0964
Practice Address - Street 1:1319 CORPUS CHRISTI ST
Practice Address - Street 2:SUITE # 1
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-5356
Practice Address - Country:US
Practice Address - Phone:956-795-0948
Practice Address - Fax:956-795-0964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59799101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty