Healthcare Provider Details

I. General information

NPI: 1841516168
Provider Name (Legal Business Name): INFINITY COUNSELING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2010
Last Update Date: 04/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 QUAIL HOLLOW DR
BROWNSVILLE TX
78520-9022
US

IV. Provider business mailing address

2390 CENTRAL BLVD STE L
BROWNSVILLE TX
78520-8717
US

V. Phone/Fax

Practice location:
  • Phone: 956-371-2240
  • Fax: 956-465-0844
Mailing address:
  • Phone: 956-371-2240
  • Fax: 956-465-0844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. CASEY JOHN MONROE
Title or Position: PRESIDENT
Credential: LCSW
Phone: 956-371-2240