Provider Demographics
NPI:1588430250
Name:ACEVEDO COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:ACEVEDO COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC ASSOCIATE
Authorized Official - Phone:443-824-0666
Mailing Address - Street 1:12370 POTRANCO RD
Mailing Address - Street 2:SUITE 207 NUMBER 230
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253
Mailing Address - Country:US
Mailing Address - Phone:443-824-0066
Mailing Address - Fax:
Practice Address - Street 1:12370 POTRANCO RD
Practice Address - Street 2:SUITE 207 NUMBER 230
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253
Practice Address - Country:US
Practice Address - Phone:443-824-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty