Provider Demographics
NPI:1356594394
Name:MEJIA, VERONICA BENAVIDEZ (LPC)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:BENAVIDEZ
Last Name:MEJIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1466
Mailing Address - Street 2:
Mailing Address - City:SABINAL
Mailing Address - State:TX
Mailing Address - Zip Code:78881-1466
Mailing Address - Country:US
Mailing Address - Phone:210-284-3544
Mailing Address - Fax:
Practice Address - Street 1:12801 N CENTRAL EXPY STE 510
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1842
Practice Address - Country:US
Practice Address - Phone:210-284-3544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62641101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional