| De Santi Counseling Services | |
|
315 E Jackson St Ste 4 Harlingen TX 78550-6849 | |
| (210) 391-7221 | |
| Not Available |
| Full Name | De Santi Counseling Services |
|---|---|
| Speciality | Case Management |
| Location | 315 E Jackson St Ste 4, Harlingen, Texas |
| Authorized Official Name and Position | Benancio Gonzalez (OWNER - SOLE MEMBER) |
| Authorized Official Contact | 2103917221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| De Santi Counseling Services 315 E Jackson St Ste 4 Harlingen TX 78550-6849 Ph: (210) 391-7221 | De Santi Counseling Services 315 E Jackson St Ste 4 Harlingen TX 78550-6849 Ph: (210) 391-7221 |
| NPI Number | 1548670821 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Medicare PECOS PAC ID | 4880026152 |
|---|---|
| Medicare Enrollment ID | O20191107002532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548670821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 63944 (Texas) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
| Provider Name | Imelda Veronica Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104284579 PECOS PAC ID: 4284931791 Enrollment ID: I20160329001361 |
| Provider Name | Benancio Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245556422 PECOS PAC ID: 9234561507 Enrollment ID: I20240111002048 |
| Provider Name | Debbie Linda Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598326647 PECOS PAC ID: 2062865835 Enrollment ID: I20240129000527 |
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