MEDICARE: CAMILLE CAMACHO LPC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	98131	TX

General Provider Information

NPI Number	:	1407648850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILLE CAMACHO LPC-A

Provider Business Mailing Address
First Line	:	5404 EDMONTON AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-3406
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5404 EDMONTON AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924
Country	:	US
Telephone Number	:	254-368-7592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	07/09/2025

Similar Medicare Providers

1245931302 — DR. JESUS ALBERTO OJEDA III DDS
Practice Location Address:

5130 FAIRBANKS DR
EL PASO, TX
79924-3813

Practice Phone: 915-621-5741
Practice Fax:

1487582458 — SUMMIT WELLNESS - CENTRAL TEXAS LLC
Practice Location Address:

5625 WOODROW BEAN
EL PASO, TX
79924-4142

Practice Phone: 915-200-0995
Practice Fax: 888-830-8403

1568771848 — CAREDDS, INC
Practice Location Address:

9909 KENWORTHY
EL PASO, TX
79924-4404

Practice Phone: 915-755-7639
Practice Fax: 915-755-0060

1447187778 — DESIREE CADENA
Practice Location Address:

5625 WOODROW BEAN
EL PASO, TX
79924-4142

Practice Phone: 512-547-1220
Practice Fax: 888-830-8403

1477556058 — DR. ANTHONY IRVING GRONICH DDS
Practice Location Address:

5665 TRANSMOUNTAIN DR , STE 201
EL PASO, TX
79924-4100

Practice Phone: 915-751-7779
Practice Fax: 915-755-2265

1710980040 — SU CASA HEALTH CARE SERVICES LLC
Practice Location Address:

9220 MCCOMBS ST
EL PASO, TX
79924-7443

Practice Phone: 915-781-1882
Practice Fax: 915-781-1883

1407850118 — KATHRYN ANNE REVELES P.N.P.
Practice Location Address:

9870 GATEWAY BLVD N , STE B7
EL PASO, TX
79924-4425

Practice Phone: 915-751-5245
Practice Fax: 915-751-5255

Directions to “ CAMILLE CAMACHO LPC-A” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.