Healthcare Provider Details

I. General information

NPI: 1376366195
Provider Name (Legal Business Name): BRIANNA HILDA ESCOBAR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2616 BUDDY OWENS BLVD
MCALLEN TX
78504-6900
US

IV. Provider business mailing address

2616 BUDDY OWENS BLVD
MCALLEN TX
78504-6900
US

V. Phone/Fax

Practice location:
  • Phone: 956-800-5679
  • Fax:
Mailing address:
  • Phone: 956-800-5679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number88294
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: