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NPI Code Detail

MEDICARE: RESET COUNSELING CENTER, LLC

MEDICARE: RESET COUNSELING CENTER, LLC
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center3944-3945TX

General Provider Information

NPI Number : 1487029914
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESET COUNSELING CENTER, LLC
Provider Business Mailing Address
First Line : 202 PALMVIEW DR
Second Line : SUITE 3C
City : PALMVIEW
State : TX
Zip : 78572-9394
Country : US
Telephone Number : 956-331-3234
Fax Number :
Provider Business Practice Location Address
First Line : 202 PALMVIEW DR
Second Line :
City : PALMVIEW
State : TX
Zip : 78572-9394
Country : US
Telephone Number : 956-331-3234
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. JAVIER ORTIZ
Credential :
Telephone Number : 956-333-3234
Provider Enumeration Date : 12/09/2015
Last Update Date : 02/01/2016

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Directions to “RESET COUNSELING CENTER, LLC ” Practice Location

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