Provider Demographics
NPI:1285991307
Name:GENERATIONS GROWING TOGETHER INC
Entity type:Organization
Organization Name:GENERATIONS GROWING TOGETHER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ PYSCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:LILIA
Authorized Official - Last Name:VARELA-RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP, LPC-S, LCDC
Authorized Official - Phone:956-600-6736
Mailing Address - Street 1:1114 N. ALTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:TX
Mailing Address - Zip Code:78573-1030
Mailing Address - Country:US
Mailing Address - Phone:956-600-6736
Mailing Address - Fax:956-391-2880
Practice Address - Street 1:1114 N ALTON BLVD
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-1030
Practice Address - Country:US
Practice Address - Phone:956-600-6736
Practice Address - Fax:956-391-2880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1804890 02Medicaid