Provider Demographics
NPI:1336302116
Name:BEA SAENZ,MS,LPC
Entity Type:Organization
Organization Name:BEA SAENZ,MS,LPC
Other - Org Name:BEA SAENZ, MS,LPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:G
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:361-815-1647
Mailing Address - Street 1:15374 MUTINY CT
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6342
Mailing Address - Country:US
Mailing Address - Phone:361-949-7024
Mailing Address - Fax:
Practice Address - Street 1:15374 MUTINY CT
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6342
Practice Address - Country:US
Practice Address - Phone:361-815-1647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13329251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113132804Medicaid