Provider Demographics
NPI:1801240247
Name:THE COUNSELING CENTER
Entity type:Organization
Organization Name:THE COUNSELING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:G
Authorized Official - Last Name:UGALDE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:956-246-4220
Mailing Address - Street 1:1613 EL CAMINO DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-7346
Mailing Address - Country:US
Mailing Address - Phone:956-246-4220
Mailing Address - Fax:956-373-9776
Practice Address - Street 1:2290 W. PIKE BLVD.
Practice Address - Street 2:SUITE 201-B
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4975
Practice Address - Country:US
Practice Address - Phone:956-246-4220
Practice Address - Fax:956-373-9776
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE COUNSELING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-22
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
TX104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty