Provider Demographics
NPI:1336573294
Name:BELIA AGUILAR
Entity Type:Organization
Organization Name:BELIA AGUILAR
Other - Org Name:TRI-CANYON MENTAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-260-2204
Mailing Address - Street 1:BOX 1998
Mailing Address - Street 2:382 BUD DANNER DRIVE, TWIN FORKS ESTATES
Mailing Address - City:LEAKEY
Mailing Address - State:TX
Mailing Address - Zip Code:78873-1998
Mailing Address - Country:US
Mailing Address - Phone:210-260-2204
Mailing Address - Fax:830-232-5928
Practice Address - Street 1:382 BUD DANNER DRIVE
Practice Address - Street 2:TWIN FORK ESTATES-BOX 1998
Practice Address - City:LEAKEY
Practice Address - State:TX
Practice Address - Zip Code:78873-1998
Practice Address - Country:US
Practice Address - Phone:210-260-2204
Practice Address - Fax:830-232-5928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty