Ortiz, Gloria L

Ortiz, Gloria L is an sole proprietor health care provider with primary practice located at 203 N Avenue C , Crystal City TX 78839-3550. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ortiz, Gloria L can be contacted via phone (830) 374-9191.

Contact Information

Primary practice address
203 N Avenue C Crystal City TX 78839-3550
Phone: (830) 374-9191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 20004 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 20004 Texas

Profile Details

NPI number 1609838069
LBN Legal business name Ortiz, Gloria L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Feb 1st, 2024 - about 9 months 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 1609838069 NPPES
Texas Other 84860L BLUE CROSS BLUE SHIELD
Texas MEDICAID 177998501 BLUE CROSS BLUE SHIELD

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