Healthcare Provider Details

I. General information

NPI: 1649517129
Provider Name (Legal Business Name): RGV CASE MANAGEMENT & COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2013
Last Update Date: 01/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32551 STANFORD RD STANFORD ROAD
LOS FRESNOS TX
78566-5021
US

IV. Provider business mailing address

32551 STANFORD RD
LOS FRESNOS TX
78566-5021
US

V. Phone/Fax

Practice location:
  • Phone: 956-341-1017
  • Fax: 956-233-9752
Mailing address:
  • Phone: 956-341-1017
  • Fax: 956-233-9752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number20213
License Number StateTX

VIII. Authorized Official

Name: MS. CYNTHIA T BURNS
Title or Position: OWNER
Credential: LCSW
Phone: 956-341-1017