Provider Demographics
NPI:1316724727
Name:SILVA, GLADYS ARIANA
Entity type:Individual
Prefix:
First Name:GLADYS
Middle Name:ARIANA
Last Name:SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 W INTERSTATE 2 STE B
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-9528
Mailing Address - Country:US
Mailing Address - Phone:956-897-5160
Mailing Address - Fax:956-598-5197
Practice Address - Street 1:7210 W INTERSTATE 2 STE B
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9528
Practice Address - Country:US
Practice Address - Phone:956-897-5160
Practice Address - Fax:956-598-5197
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional