Lorenzo Ortiz, LPC | |
203 N Avenue C, Crystal City, TX 78839-3550 | |
(830) 374-9191 | |
Not Available |
Full Name | Lorenzo Ortiz |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 203 N Avenue C, Crystal City, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689638132 | NPI | - | NPPES |
027823601 | Medicaid | TX | |
82303L | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 14744 (Texas) | Primary |
Entity Name | Vida Y Salud - Health Systems, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770511032 PECOS PAC ID: 8820127848 Enrollment ID: O20110307000305 |
Mailing Address | Practice Location Address |
---|---|
Lorenzo Ortiz, LPC 203 N Avenue C, Crystal City, TX 78839-3550 Ph: (830) 374-9191 | Lorenzo Ortiz, LPC 203 N Avenue C, Crystal City, TX 78839-3550 Ph: (830) 374-9191 |
Vanessa Nicole Benavides, Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 S Cesar Chavez Ave, Crystal City, TX 78839 Phone: 830-374-2301 | |
Ms. Andrea Ann Rodriguez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 S Cesar Chavez Ave, Crystal City, TX 78839 Phone: 830-374-2301 Fax: 830-374-9368 | |
Gloria L Ortiz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 203 N Avenue C, Crystal City, TX 78839 Phone: 830-374-9191 | |
Marivel M Hinojosa, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 S Cesar Chavez Ave, Crystal City, TX 78839 Phone: 830-374-2872 | |
Mrs. Rosa C Guzman, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 S Cesar Chavez Ave, Crystal City, TX 78839 Phone: 830-374-2301 |