Provider Demographics
NPI:1588327936
Name:VALLE, RICARDO RENE (MA, LPC)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:RENE
Last Name:VALLE
Suffix:
Gender:
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 SILVERHILL PL
Mailing Address - Street 2:
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-8118
Mailing Address - Country:US
Mailing Address - Phone:915-229-1131
Mailing Address - Fax:
Practice Address - Street 1:338 SILVERHILL PL
Practice Address - Street 2:
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928-8118
Practice Address - Country:US
Practice Address - Phone:915-276-4568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-21
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83007101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional