Provider Demographics
NPI:1356127575
Name:URESTI, ALYSSA VILLAFRANCA (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:VILLAFRANCA
Last Name:URESTI
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:LASHAE
Other - Last Name:VILLAFRANCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12629 LEOPARD ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-4105
Mailing Address - Country:US
Mailing Address - Phone:361-726-0669
Mailing Address - Fax:
Practice Address - Street 1:2901 MCARDLE RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-1713
Practice Address - Country:US
Practice Address - Phone:361-878-4630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90277101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health