Provider Demographics
NPI:1770236283
Name:ADRIANA BIRDSONG LCSW PLLC
Entity Type:Organization
Organization Name:ADRIANA BIRDSONG LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRDSONG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:915-228-4855
Mailing Address - Street 1:14269 HUNTER CRK
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-5146
Mailing Address - Country:US
Mailing Address - Phone:915-820-4110
Mailing Address - Fax:
Practice Address - Street 1:14269 HUNTER CRK
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-5146
Practice Address - Country:US
Practice Address - Phone:915-228-4855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty