Healthcare Provider Details

I. General information

NPI: 1194301028
Provider Name (Legal Business Name): ROBERTO E GUERRA BOLADO LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ROBERTO GUERRA

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 N K CTR APT G205
MCALLEN TX
78501-1546
US

IV. Provider business mailing address

3301 N K CTR APT G205
MCALLEN TX
78501-1546
US

V. Phone/Fax

Practice location:
  • Phone: 956-566-9479
  • Fax:
Mailing address:
  • Phone: 956-566-9479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number95101
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: