Organization Name: | VW COUNSELING AND PERFORMANCE COACHING LLC |
NPI Number: | 1801261979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VERONICA WILLIAMS (OWNER/PROVIDER) |
Mailing Address: | 1405 County Road 251 Hondo |
State: | TX US |
Postal Code: | 788616002 |
Phone Number: | 2108706446 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2015 |
NPI Last Update Date: | 12/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 71366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |