Provider Demographics
NPI:1699917716
Name:COUNSELING AND EDUCATIONAL RESOURCES, PC
Entity type:Organization
Organization Name:COUNSELING AND EDUCATIONAL RESOURCES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:361-853-9998
Mailing Address - Street 1:1001 LOUISIANA AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2862
Mailing Address - Country:US
Mailing Address - Phone:361-853-9998
Mailing Address - Fax:361-855-6696
Practice Address - Street 1:1001 LOUISIANA AVE STE 302
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2862
Practice Address - Country:US
Practice Address - Phone:361-853-9998
Practice Address - Fax:361-855-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10937101YM0800X, 101YP1600X, 1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A4846OtherMCARE PTAN
TX0642696-02Medicaid