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NPI Code Detail

MEDICARE: INNER GROWING COUNSELING & THERAPY PLLC

MEDICARE: INNER GROWING COUNSELING & THERAPY 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1366382616
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNER GROWING COUNSELING & THERAPY PLLC
Provider Business Mailing Address
First Line : 2416 EASTERN PALM DR
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-3467
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2416 EASTERN PALM DR
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-3467
Country : US
Telephone Number : 956-208-8846
Fax Number :
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : MRS. IRMA IDALIA MIJARES
Credential : LPC
Telephone Number : 956-208-8846
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “INNER GROWING COUNSELING & THERAPY PLLC ” Practice Location

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