| Lorenzo Ortiz Dba Wintergarden Counseling Services | |
|
203 N Avenue C Crystal City TX 78839-3550 | |
| (830) 374-9191 | |
| Not Available |
| Full Name | Lorenzo Ortiz Dba Wintergarden Counseling Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 203 N Avenue C, Crystal City, Texas |
| Authorized Official Name and Position | Lorenzo Ortiz (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8303749191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorenzo Ortiz Dba Wintergarden Counseling Services 203 N Avenue C Crystal City TX 78839-3550 Ph: (830) 374-9191 | Lorenzo Ortiz Dba Wintergarden Counseling Services 203 N Avenue C Crystal City TX 78839-3550 Ph: (830) 374-9191 |
| NPI Number | 1821273467 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821273467 | NPI | - | NPPES |
| 177998501 | Medicaid | TX | |
| 027823601 | Medicaid | TX | |
| 84860L | Other | TX | BLUE CROSS BLUE SHIELD |
| 82303L | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 20004 (Texas) | Primary |