MEDICARE: RAFAEL ALBERTO PARRA M.S., L.P.C.

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	101YM0800X	Mental Health Counselor	61367	TX
2	101YP2500X	Professional Counselor	61367	TX
3	101Y00000X	Counselor	61367	TX

General Provider Information

NPI Number	:	1992988489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL ALBERTO PARRA M.S., L.P.C.

Provider Business Mailing Address
First Line	:	20540 HIGHWAY 46 W # 115290
Second Line	:
City	:	SPRING BRANCH
State	:	TX
Zip	:	78070-6821
Country	:	US
Telephone Number	:	210-219-4766
Fax Number	:	888-920-1882

Provider Business Practice Location Address
First Line	:	20540 HIGHWAY 46 W # 115-290
Second Line	:
City	:	SPRING BRANCH
State	:	TX
Zip	:	78070-6821
Country	:	US
Telephone Number	:	210-219-4766
Fax Number	:	888-920-1882

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

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	01/30/2025

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