| Organization Name: | LORENZO ORTIZ DBA WINTERGARDEN COUNSELING SERVICES |
| NPI Number: | 1821273467 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORENZO ORTIZ (LICENSED PROFESSIONAL COUNSELOR) |
| Mailing Address: | 203 N Avenue C Crystal City |
| State: | TX US |
| Postal Code: | 788393550 |
| Phone Number: | 8303749191 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2008 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 20004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |