Provider Demographics
NPI:1487978110
Name:MCALLEN COUNSELING CONSULTANTS, INC
Entity type:Organization
Organization Name:MCALLEN COUNSELING CONSULTANTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:KEARNS
Authorized Official - Last Name:WARWAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:956-994-8471
Mailing Address - Street 1:4014 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4101
Mailing Address - Country:US
Mailing Address - Phone:956-994-8471
Mailing Address - Fax:956-994-8875
Practice Address - Street 1:4014 N 22ND ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4101
Practice Address - Country:US
Practice Address - Phone:956-994-8471
Practice Address - Fax:956-994-8875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65583251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2104820Medicaid