| Gloria L Ortiz, LPC | |
|
203 N Avenue C, Crystal City, TX 78839-3550 | |
| (830) 374-9191 | |
| Not Available |
| Full Name | Gloria L Ortiz |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 203 N Avenue C, Crystal City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609838069 | NPI | - | NPPES |
| 84860L | Other | TX | BLUE CROSS BLUE SHIELD |
| 177998501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 20004 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | 20004 (Texas) | Primary |
| Entity Name | Camino Real Community Mhmr Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154411262 PECOS PAC ID: 9931183449 Enrollment ID: O20040614001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria L Ortiz, LPC 203 N Avenue C, Crystal City, TX 78839-3550 Ph: (830) 374-9191 | Gloria L Ortiz, LPC 203 N Avenue C, Crystal City, TX 78839-3550 Ph: (830) 374-9191 |
Vanessa Nicole Benavides, Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 S Cesar Chavez Ave, Crystal City, TX 78839 Phone: 830-374-2301 | |
Ms. Andrea Ann Rodriguez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 308 S Cesar Chavez Ave, Crystal City, TX 78839 Phone: 830-374-2301 Fax: 830-374-9368 | |
Lorenzo Ortiz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 203 N Avenue C, Crystal City, TX 78839 Phone: 830-374-9191 | |
Marivel M Hinojosa, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 S Cesar Chavez Ave, Crystal City, TX 78839 Phone: 830-374-2872 | |
Mrs. Rosa C Guzman, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 S Cesar Chavez Ave, Crystal City, TX 78839 Phone: 830-374-2301 |