Esmeralda N Barraza
Individual provider Active NPI Professional Counselor · Universal City, TX
NPI 1467945907 · NPPES record last updated Sep 20, 2021
Key facts
- NPI
- 1467945907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 83068 (TX)
- Practice address
- 433 Kitty Hawk Rd Ste 219
Universal City, TX 78148-3829 - Phone
- (210) 566-1280
- Fax
- (210) 579-8533
- NPI assigned
- Jun 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83068 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alba Wellness Incorporated | Professional | Current |
Accepting new patients |
| Alba Wellness Case Management LLC | Past |
Accepting new patients |
Locations
433 Kitty Hawk Rd
Ste 219
Universal Cty, TX 78148
Phone (210) 566-1280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Professional Counselor | 101YP2500X | 83068 | TX | Yes |
Addresses
Primary practice location
433 Kitty Hawk Rd Ste 219
Universal City, TX 78148-3829
Mailing address
433 Kitty Hawk Rd Ste 219
Universal City, TX 78148-3829
Phone (956) 639-1129
Other providers in Universal City, TX
- Dwayne Baker Jr.
- Megan Balasundaram
- Kylie Baldwin
- Monica Maria Barboza
- Carla Barnes
- Ramona O Barrientos
- Cheyenne S Beal
- Amber Beck
- Sharyn H Bell
- Teresa Wilburn Bethany
All providers in Universal City, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.