Healthcare Provider Details
I. General information
NPI: 1649183773
Provider Name (Legal Business Name): ENTRE HISTORIAS COUNSELING AND CONSULTATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US
IV. Provider business mailing address
5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US
V. Phone/Fax
- Phone: 956-371-3448
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
LESLIE
A
GARCIA
Title or Position: OWNER
Credential: PHD, LPC-S, LCDC
Phone: 956-371-3448