Provider Demographics
NPI:1427359173
Name:THE SENDERO GROUP PLLC
Entity Type:Organization
Organization Name:THE SENDERO GROUP PLLC
Other - Org Name:F. HEATH SMITH IV
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FAISON
Authorized Official - Middle Name:HEATHMAN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:IV
Authorized Official - Credentials:MA, LCDC, ADC III
Authorized Official - Phone:956-994-1428
Mailing Address - Street 1:3216 SWALLOW AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4925
Mailing Address - Country:US
Mailing Address - Phone:956-630-3405
Mailing Address - Fax:
Practice Address - Street 1:801 W NOLANA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3034
Practice Address - Country:US
Practice Address - Phone:956-994-1428
Practice Address - Fax:956-994-1487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1765101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty