Provider Demographics
NPI:1649932195
Name:MELTZER COUNSELING, PLLC
Entity type:Organization
Organization Name:MELTZER COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:FABIOLA
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:CHINEA-ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NCC, LPC
Authorized Official - Phone:361-218-3535
Mailing Address - Street 1:11012 CAIRNHILL CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-2162
Mailing Address - Country:US
Mailing Address - Phone:361-218-3535
Mailing Address - Fax:
Practice Address - Street 1:1221 ABRAMS RD STE 326
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5574
Practice Address - Country:US
Practice Address - Phone:972-638-7199
Practice Address - Fax:214-593-4786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty