Provider Demographics
NPI:1215165899
Name:SELIA SERVIN-EISCHEN, PSYD, LMFT COUNSELING & CONSULTING
Entity type:Organization
Organization Name:SELIA SERVIN-EISCHEN, PSYD, LMFT COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SELIA
Authorized Official - Middle Name:FELICIANITA
Authorized Official - Last Name:SERVIN-EISCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:956-421-5708
Mailing Address - Street 1:1821 S SESAME SQ
Mailing Address - Street 2:SUITE 14
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-9288
Mailing Address - Country:US
Mailing Address - Phone:956-421-5708
Mailing Address - Fax:956-421-5718
Practice Address - Street 1:1821 S SESAME SQ
Practice Address - Street 2:SUITE 14
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-9288
Practice Address - Country:US
Practice Address - Phone:956-421-5708
Practice Address - Fax:956-421-5718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN356106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty