Lorenzo Ortiz Dba Wintergarden Counseling Services | |
203 N Avenue C Crystal City TX 78839-3550 | |
(830) 374-9191 | |
Not Available |
Full Name | Lorenzo Ortiz Dba Wintergarden Counseling Services |
---|---|
Speciality | Counselor - Professional |
Location | 203 N Avenue C, Crystal City, Texas |
Authorized Official Name and Position | Lorenzo Ortiz (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 8303749191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lorenzo Ortiz Dba Wintergarden Counseling Services 203 N Avenue C Crystal City TX 78839-3550 Ph: (830) 374-9191 | Lorenzo Ortiz Dba Wintergarden Counseling Services 203 N Avenue C Crystal City TX 78839-3550 Ph: (830) 374-9191 |
NPI Number | 1821273467 |
---|---|
Provider Enumeration Date | 01/02/2008 |
Last Update Date | 07/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821273467 | NPI | - | NPPES |
177998501 | Medicaid | TX | |
027823601 | Medicaid | TX | |
84860L | Other | TX | BLUE CROSS BLUE SHIELD |
82303L | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 20004 (Texas) | Primary |