| Letty Counseling Services, Inc. | |
|
6354 Edgemere Blvd El Paso TX 79925-3517 | |
| (915) 542-4200 | |
| (915) 542-4204 |
| Full Name | Letty Counseling Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 6354 Edgemere Blvd, El Paso, Texas |
| Authorized Official Name and Position | Leticia Gutierrez (OWNER) |
| Authorized Official Contact | 9155424200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Letty Counseling Services, Inc. 6354 Edgemere Blvd El Paso TX 79925-3517 Ph: (915) 542-4200 | Letty Counseling Services, Inc. 6354 Edgemere Blvd El Paso TX 79925-3517 Ph: (915) 542-4200 |
| NPI Number | 1548307366 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 01/03/2012 |
| Medicare PECOS PAC ID | 9931630787 |
|---|---|
| Medicare Enrollment ID | O20241003001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548307366 | NPI | - | NPPES |
| 096046003 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 16474 (Texas) | Primary |
| Provider Name | Leticia Gutierrez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780624361 PECOS PAC ID: 0840721692 Enrollment ID: I20241003001870 |
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