Provider Demographics
NPI:1245784545
Name:PARGA, BELEN CECILIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BELEN
Middle Name:CECILIA
Last Name:PARGA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3812 W SPURGEON ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-1220
Mailing Address - Country:US
Mailing Address - Phone:817-584-2667
Mailing Address - Fax:
Practice Address - Street 1:111 NW 24TH ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76164-8544
Practice Address - Country:US
Practice Address - Phone:817-626-6401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69554101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health