Healthcare Provider Details

I. General information

NPI: 1326592437
Provider Name (Legal Business Name): SONIA MIJARES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2016
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5220 SPRING VALLEY RD STE 610
DALLAS TX
75254-3059
US

IV. Provider business mailing address

5220 SPRING VALLEY RD STE 610
DALLAS TX
75254-3059
US

V. Phone/Fax

Practice location:
  • Phone: 972-901-2104
  • Fax:
Mailing address:
  • Phone: 972-901-2104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number70171
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: