Provider Demographics
NPI:1215267992
Name:COUNSELING FOR WELLNESS, PLLC
Entity type:Organization
Organization Name:COUNSELING FOR WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:E
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:956-213-8258
Mailing Address - Street 1:4751 S JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8381
Mailing Address - Country:US
Mailing Address - Phone:956-213-8258
Mailing Address - Fax:
Practice Address - Street 1:4751 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8381
Practice Address - Country:US
Practice Address - Phone:956-213-8258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-03
Last Update Date:2010-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188495902Medicaid