Provider Demographics
NPI:1639562044
Name:SENDERO COUNSELING OF SOUTH TEXAS, PLLC
Entity Type:Organization
Organization Name:SENDERO COUNSELING OF SOUTH TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:FLORES
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-342-3143
Mailing Address - Street 1:7601 KING ARTHURS CT # 10
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2954
Mailing Address - Country:US
Mailing Address - Phone:956-342-3143
Mailing Address - Fax:
Practice Address - Street 1:7601 KING ARTHURS CT # 10
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2954
Practice Address - Country:US
Practice Address - Phone:956-342-3143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20163101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty