MEDICARE: ARENA COUNSELING CENTER INC

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	1041C0700X	Clinical Social Worker	03495	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205932035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARENA COUNSELING CENTER INC

Provider Business Mailing Address
First Line	:	5800 RANCHESTER
Second Line	:	SUITE #142
City	:	HOUSTON
State	:	TX
Zip	:	77036-2440
Country	:	US
Telephone Number	:	713-271-8430
Fax Number	:	713-271-3228

Provider Business Practice Location Address
First Line	:	5800 RANCHESTER
Second Line	:	SUITE #142
City	:	HOUSTON
State	:	TX
Zip	:	77036-2440
Country	:	US
Telephone Number	:	713-271-8430
Fax Number	:	713-271-3228

Authorized Official
Title or Position	:	PSYCHOTHERAPIST/CEO
Name	:	MRS. TERESA P. ESPINOZA
Credential	:	LCSW
Telephone Number	:	713-271-8430

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	10/19/2009

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