Provider Demographics
NPI:1295982890
Name:SVP FAMILY COUNSELING
Entity type:Organization
Organization Name:SVP FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTORA
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:I
Authorized Official - Last Name:VELLON-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:787-504-6583
Mailing Address - Street 1:PO BOX 2620
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-2620
Mailing Address - Country:US
Mailing Address - Phone:787-504-6583
Mailing Address - Fax:
Practice Address - Street 1:CARR. 31
Practice Address - Street 2:KM 23.5
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-2620
Practice Address - Country:US
Practice Address - Phone:787-524-3306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1615101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty