Provider Demographics
NPI:1982895785
Name:JALOMA-SCHEUBEL, ISELA GARCIA (MA)
Entity Type:Individual
Prefix:MRS
First Name:ISELA
Middle Name:GARCIA
Last Name:JALOMA-SCHEUBEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 SOUTH COUNTY ROAD 1126
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706
Mailing Address - Country:US
Mailing Address - Phone:720-382-8542
Mailing Address - Fax:303-432-5071
Practice Address - Street 1:112 LORAINE SOUTH
Practice Address - Street 2:SUITE 222
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701
Practice Address - Country:US
Practice Address - Phone:720-382-8342
Practice Address - Fax:303-432-5071
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60270101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTPI212YP2500XMedicaid