| Country Breeze Counseling Center, Llc | |
|
16486 Fm 463 Lytle TX 78052-4514 | |
| (830) 709-0711 | |
| (830) 772-3808 |
| Full Name | Country Breeze Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 16486 Fm 463, Lytle, Texas |
| Authorized Official Name and Position | Donna Beck Granato (OWNER-COUNSELOR) |
| Authorized Official Contact | 8307090711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Breeze Counseling Center, Llc 17875 Fm 463 Natalia TX 78059-2338 Ph: (830) 709-0711 | Country Breeze Counseling Center, Llc 16486 Fm 463 Lytle TX 78052-4514 Ph: (830) 709-0711 |
| NPI Number | 1417281643 |
|---|---|
| Provider Enumeration Date | 09/21/2009 |
| Last Update Date | 09/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417281643 | NPI | - | NPPES |
| 121971901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 14243 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 63654 (Texas) | Secondary |
Camino Real Community Mhmr Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19965 Fm 3175 North, Lytle, TX 78052 Phone: 210-357-0300 Fax: 210-357-0458 | |
Camino Real Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19965 Fm 3175, Lytle, TX 78052 Phone: 210-357-0300 Fax: 830-772-4305 | |
Camino Real Community Mhmr Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19965 Fm 3175 N, Lytle, TX 78052 Phone: 210-357-0300 Fax: 210-357-0458 |