Provider Demographics
NPI:1801502604
Name:YOURNOTALONE G COUNSELING & THERAPY SERVICES
Entity type:Organization
Organization Name:YOURNOTALONE G COUNSELING & THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:GERALDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, CSC
Authorized Official - Phone:956-579-4002
Mailing Address - Street 1:226 W HOUSTON ST APT 212
Mailing Address - Street 2:
Mailing Address - City:PORT ISABEL
Mailing Address - State:TX
Mailing Address - Zip Code:78578-2948
Mailing Address - Country:US
Mailing Address - Phone:956-579-4002
Mailing Address - Fax:
Practice Address - Street 1:302 E QUEEN ISABELLA STE E
Practice Address - Street 2:
Practice Address - City:PORT ISABEL
Practice Address - State:TX
Practice Address - Zip Code:78578-2407
Practice Address - Country:US
Practice Address - Phone:956-579-4002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty