Letty Counseling Services, Inc. | |
6354 Edgemere Blvd El Paso TX 79925-3517 | |
(915) 542-4200 | |
(915) 542-4204 |
Full Name | Letty Counseling Services, Inc. |
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Speciality | Counselor |
Location | 6354 Edgemere Blvd, El Paso, Texas |
Authorized Official Name and Position | Leticia Gutierrez (OWNER) |
Authorized Official Contact | 9155424200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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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 | 1548307366 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 01/03/2012 |
Medicare PECOS PAC ID | 9931630787 |
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Medicare Enrollment ID | O20241003001555 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548307366 | NPI | - | NPPES |
096046003 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 16474 (Texas) | Primary |
Provider Name | Leticia Gutierrez |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780624361 PECOS PAC ID: 0840721692 Enrollment ID: I20241003001870 |
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