=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992988489
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RAFAEL ALBERTO PARRA M.S., L.P.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/07/2007
-----------------------------------------------------
Last Update Date | 01/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20540 HIGHWAY 46 W # 115-290
-----------------------------------------------------
City | SPRING BRANCH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78070-6821
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-219-4766
-----------------------------------------------------
Fax | 888-920-1882
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20540 HIGHWAY 46 W # 115290
-----------------------------------------------------
City | SPRING BRANCH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78070-6821
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-219-4766
-----------------------------------------------------
Fax | 888-920-1882
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 61367
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 61367
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | 61367
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------