Venessa Bernice Acosta, LPC

Individual provider Active NPI Mental Health Counselor · Harlingen, TX

NPI 1376868752 · NPPES record last updated Mar 29, 2010

Key facts

NPI
1376868752
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
63011 (TX)
Practice address
27199 Baker Potts Rd
Harlingen, TX 78552-3760
Phone
(956) 455-2761
Fax
(956) 425-1620
NPI assigned
Mar 29, 2010
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
63011TXMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 63011 TX Yes

Addresses

Primary practice location

27199 Baker Potts Rd
Harlingen, TX 78552-3760

Mailing address

27199 Baker Potts Rd
Harlingen, TX 78552-3760
Phone (956) 455-2761

Other providers in Harlingen, TX

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

Sources for this page

Verify at the official NPI Registry.