Organization Name: | SOUTHWEST COUNSELING SERVICES, PC |
NPI Number: | 1184809378 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARNA VEE LOECKLE (OWNER) |
Mailing Address: | 1725 E Main St League City |
State: | TX US |
Postal Code: | 775734146 |
Phone Number: | 2813323300 |
Fax Number: | 2813320039 |
NPI Enumeration Date: | 01/07/2008 |
NPI Last Update Date: | 01/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 12291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |