Provider Demographics
NPI:1841533189
Name:CONSULENZA FAMILIARE, LLC
Entity type:Organization
Organization Name:CONSULENZA FAMILIARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COMPAGNONE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:830-322-9962
Mailing Address - Street 1:603 S 12TH ST
Mailing Address - Street 2:
Mailing Address - City:CARRIZO SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78834-4117
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:830-876-9929
Practice Address - Street 1:603 S 12TH ST
Practice Address - Street 2:
Practice Address - City:CARRIZO SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78834-4117
Practice Address - Country:US
Practice Address - Phone:830-322-9962
Practice Address - Fax:830-876-9929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63706251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health