Griselda Ruvalcaba, LPC

Individual provider Active NPI Mental Health Counselor · Lavon, TX

NPI 1306629449 · NPPES record last updated Aug 14, 2023

Key facts

NPI
1306629449
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
87493 (TX)
Practice address
540 Willow LN
Lavon, TX 75166-1728
Phone
(972) 672-0934
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
87493TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 87493 TX Yes

Addresses

Primary practice location

540 Willow LN
Lavon, TX 75166-1728

Mailing address

540 Willow LN
Lavon, TX 75166-1728
Phone (972) 672-0934

Other providers in Lavon, TX

All providers in Lavon, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.