Provider Demographics
NPI:1639131873
Name:VILLARREAL, HECTOR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:
Last Name:VILLARREAL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 W ACADIA ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-7453
Mailing Address - Country:US
Mailing Address - Phone:956-202-3691
Mailing Address - Fax:956-364-6544
Practice Address - Street 1:1111 N 7TH ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5044
Practice Address - Country:US
Practice Address - Phone:956-364-6500
Practice Address - Fax:956-364-6544
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS146951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80945WOtherBLUE SHEILD
TX80945WMedicare ID - Type UnspecifiedTROPICAL TEXAS MHMR