| Letty Counseling Services Inc. | |
|
6354 Edgemere Blvd El Paso TX 79925-3517 | |
| (915) 542-4200 | |
| (915) 542-4204 |
| Full Name | Letty Counseling Services Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6354 Edgemere Blvd, El Paso, Texas |
| Authorized Official Name and Position | Leticia Gutierrez (CLINIC DIRECTOR) |
| Authorized Official Contact | 9155424200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Letty Counseling Services Inc. 6354 Edgemere Blvd El Paso TX 79925-3517 Ph: (915) 542-4200 | Letty Counseling Services Inc. 6354 Edgemere Blvd El Paso TX 79925-3517 Ph: (915) 542-4200 |
| NPI Number | 1407877293 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407877293 | NPI | - | NPPES |
| 167538101 | Medicaid | TX | |
| 178608901 | Medicaid | TX | |
| 178741801 | Medicaid | TX | |
| 096046003 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 16474 (Texas) | Primary |
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