Provider Demographics
NPI:1396379277
Name:MOLINA, ARTURO J (LPC)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:J
Last Name:MOLINA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 WESTOVER DR
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-2079
Mailing Address - Country:US
Mailing Address - Phone:682-292-8525
Mailing Address - Fax:
Practice Address - Street 1:2305 MUSTANG DR STE 200
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-4697
Practice Address - Country:US
Practice Address - Phone:682-292-8525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78690101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional