Provider Demographics
NPI:1477079465
Name:SARA BILBAO COUNSELING PLLC
Entity Type:Organization
Organization Name:SARA BILBAO COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BILBAO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:915-479-4041
Mailing Address - Street 1:8001 N MESA ST.
Mailing Address - Street 2:STE E #275
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932
Mailing Address - Country:US
Mailing Address - Phone:915-584-5105
Mailing Address - Fax:
Practice Address - Street 1:230 THUNDERBIRD DR STE J
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3913
Practice Address - Country:US
Practice Address - Phone:915-479-4041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-21
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty