Provider Demographics
NPI:1710379680
Name:VALLEY COUNSELING CENTER
Entity Type:Organization
Organization Name:VALLEY COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTICIONER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARA
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS
Authorized Official - Phone:956-340-0022
Mailing Address - Street 1:214 N 16TH ST STE 114
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-7983
Mailing Address - Country:US
Mailing Address - Phone:956-340-0022
Mailing Address - Fax:
Practice Address - Street 1:214 N 16TH ST STE 114
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-7983
Practice Address - Country:US
Practice Address - Phone:956-340-0022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63732101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty