Provider Demographics
NPI:1467824813
Name:ALEMAN VAUGHAN, ELVIRA (LPC)
Entity Type:Individual
Prefix:
First Name:ELVIRA
Middle Name:
Last Name:ALEMAN VAUGHAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3303
Mailing Address - Country:US
Mailing Address - Phone:956-255-8899
Mailing Address - Fax:956-429-3180
Practice Address - Street 1:2607 E 20TH ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3303
Practice Address - Country:US
Practice Address - Phone:956-343-6488
Practice Address - Fax:956-429-3180
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70920101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX352300301Medicaid
TX70920OtherLPC