=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972491165
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LV COUNSELING SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2025
-----------------------------------------------------
Last Update Date | 06/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5529 BETH VIEW DR
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79932-1418
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-203-0310
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5529 BETH VIEW DR
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79932-1418
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-203-0310
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LPC-S
-----------------------------------------------------
Name | LILIANA VACIO
-----------------------------------------------------
Credential | LPC-S
-----------------------------------------------------
Telephone | 915-299-3134
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------