Provider Demographics
NPI:1386465763
Name:ROBERT TRUJILLO COUNSELING
Entity type:Organization
Organization Name:ROBERT TRUJILLO COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-990-6942
Mailing Address - Street 1:151073 ESCALANTE PASS
Mailing Address - Street 2:
Mailing Address - City:VON ORMY
Mailing Address - State:TX
Mailing Address - Zip Code:78073
Mailing Address - Country:US
Mailing Address - Phone:210-990-6942
Mailing Address - Fax:210-903-0750
Practice Address - Street 1:151073 ESCALANTE PASS
Practice Address - Street 2:
Practice Address - City:VON ORMY
Practice Address - State:TX
Practice Address - Zip Code:78073
Practice Address - Country:US
Practice Address - Phone:210-990-6942
Practice Address - Fax:210-903-0750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty