Acosta, Maria Susana

Acosta, Maria Susana is an sole proprietor health care provider with primary practice located at 1790 N Lee Trevino Dr Suite 601A, El Paso TX 79936-4545. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Acosta, Maria Susana can be contacted via phone (915) 407-1323.

Contact Information

Primary practice address
1790 N Lee Trevino Dr Suite 601A El Paso TX 79936-4545
Phone: (915) 407-1323
Fax: (915) 778-4244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 60613 Texas

Profile Details

NPI number 1720141195
LBN Legal business name Acosta, Maria Susana
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jan 9th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720141195 NPPES
Texas MEDICAID 186865504

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