MEDICARE: SOCORRO COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1184570491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOCORRO COUNSELING PLLC

Provider Business Mailing Address
First Line	:	PO BOX 37114
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78237-0114
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 MENCHACA ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-6352
Country	:	US
Telephone Number	:	210-201-2347
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTIAN MOLINA
Credential	:	LPC, NCC
Telephone Number	:	210-201-2345

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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