Provider Demographics
NPI:1417710005
Name:CONSULTANTS OF SOUTH TEXAS LLC
Entity Type:Organization
Organization Name:CONSULTANTS OF SOUTH TEXAS LLC
Other - Org Name:USA FEDERAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-605-6420
Mailing Address - Street 1:1123 E 9TH ST STE 15
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-5465
Mailing Address - Country:US
Mailing Address - Phone:956-605-6420
Mailing Address - Fax:
Practice Address - Street 1:1123 E 9TH ST STE 15
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-5465
Practice Address - Country:US
Practice Address - Phone:956-605-6420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty