Provider Demographics
NPI:1629357538
Name:HISPANIC COUNSELING CENTER
Entity Type:Organization
Organization Name:HISPANIC COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:VILLALOBOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-858-1543
Mailing Address - Street 1:14780 MEMORIAL DR
Mailing Address - Street 2:SUITE #206
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5284
Mailing Address - Country:US
Mailing Address - Phone:713-858-1543
Mailing Address - Fax:281-679-9982
Practice Address - Street 1:14780 MEMORIAL DR
Practice Address - Street 2:SUITE #206
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5284
Practice Address - Country:US
Practice Address - Phone:713-858-1543
Practice Address - Fax:281-679-9982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2071261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder