Healthcare Provider Details

I. General information

NPI: 1144987629
Provider Name (Legal Business Name): STEPHANIE VILLARREAL OLVERA LMFT, LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 MCALLEN ST
DONNA TX
78537-2331
US

IV. Provider business mailing address

201 MCALLEN ST
DONNA TX
78537-2331
US

V. Phone/Fax

Practice location:
  • Phone: 956-351-7994
  • Fax:
Mailing address:
  • Phone: 956-351-7994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number204168
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: