Provider Demographics
NPI:1427570027
Name:PUERTO RICO COUNSELING AND PSYCHOLOGY SERVICES
Entity Type:Organization
Organization Name:PUERTO RICO COUNSELING AND PSYCHOLOGY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAILA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD CLINICAL PSYCH
Authorized Official - Phone:787-318-8201
Mailing Address - Street 1:14 JUAN MARTINEZ
Mailing Address - Street 2:MALAGA PARK, 112
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971
Mailing Address - Country:US
Mailing Address - Phone:787-318-8201
Mailing Address - Fax:
Practice Address - Street 1:14 JUAN MARTINEZ
Practice Address - Street 2:MALAGA PARK, 112
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971
Practice Address - Country:US
Practice Address - Phone:787-318-8201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty