Healthcare Provider Details

I. General information

NPI: 1447624242
Provider Name (Legal Business Name): STEFANIE CRISTINA ESCONTRIAS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 JEFFERSON AVE
SEGUIN TX
78155-5910
US

IV. Provider business mailing address

1104 JEFFERSON AVE
SEGUIN TX
78155-5910
US

V. Phone/Fax

Practice location:
  • Phone: 830-379-8222
  • Fax:
Mailing address:
  • Phone: 830-379-8222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number75277
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC 373
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: