| Lorenzo Ortiz, LPC | |
|
203 N Avenue C, Crystal City, TX 78839-3550 | |
| (830) 374-9191 | |
| Not Available |
| Full Name | Lorenzo Ortiz |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| 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 |
|---|---|---|---|
| 1689638132 | NPI | - | NPPES |
| 027823601 | Medicaid | TX | |
| 82303L | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 14744 (Texas) | Primary |
| Entity Name | Vida Y Salud - Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770511032 PECOS PAC ID: 8820127848 Enrollment ID: O20110307000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorenzo Ortiz, LPC 203 N Avenue C, Crystal City, TX 78839-3550 Ph: (830) 374-9191 | Lorenzo 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 | |
Gloria L 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 |