Provider Demographics
NPI:1811453780
Name:KEEN CARE COUNSELING SERVICES
Entity type:Organization
Organization Name:KEEN CARE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:ADAME
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:956-605-7727
Mailing Address - Street 1:508 S MON MACK RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4409
Mailing Address - Country:US
Mailing Address - Phone:956-605-7727
Mailing Address - Fax:956-686-4377
Practice Address - Street 1:905 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6616
Practice Address - Country:US
Practice Address - Phone:956-605-7727
Practice Address - Fax:956-686-4377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171827203Medicaid