Provider Demographics
NPI:1508622333
Name:MARCO COUNSELING & CONSULTING, PLLC
Entity Type:Organization
Organization Name:MARCO COUNSELING & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:MAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-988-0060
Mailing Address - Street 1:4940 BROADWAY STE 230
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5747
Mailing Address - Country:US
Mailing Address - Phone:210-988-0060
Mailing Address - Fax:
Practice Address - Street 1:4940 BROADWAY STE 230
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-5747
Practice Address - Country:US
Practice Address - Phone:210-988-0060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)