Eva Arjona, LPC

Individual provider Active NPI Professional Counselor · Pharr, TX

NPI 1457776353 · NPPES record last updated Jun 19, 2019

Key facts

NPI
1457776353
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
69338 (TX)
Practice address
1002 W Sam Houston Blvd Ste 10
Pharr, TX 78577
Phone
(956) 961-4691
Fax
(956) 961-4658
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
69338TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Light Rehabilitation Services and Counseling, LLC Professional Current Accepting new patients
Renaissance Medical Foundation Professional Past
since Sep 4, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69338 TX Yes

Addresses

Primary practice location

1002 W Sam Houston Blvd Ste 10
Pharr, TX 78577

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 961-4691

Other practice location 1

1901 S 24th Ave
Edinburg, TX 78539-6533
Phone (956) 289-7025

Other identifiers

IdentifierTypeStateIssuer
138708613MedicaidTX
138708611MedicaidTX
00R945OtherTXMEDICARE

Other providers in Pharr, TX

All providers in Pharr, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.