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Organization
SANAMENTE ALIADOS
Active
Organization
SANAMENTE ALIADOS
Active
Other names
Cafe con las Consejeras
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PEREZ LCSW (CEO)
(903) 309-0702
Entity
Organization
Contact information
Practice address
1121 JUDSON RD STE 140, LONGVIEW, TX 75601-5119
(903) 309-0702
Mailing address
806 JACK CT, LONGVIEW, TX 75601-8716
(805) 512-2401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194405803
—
TX
05
—
1295566073
—
TX
05
—
1821486168
—
TX
05
—
1891101408
—
CA
Enumeration date
02/04/2025
Last updated
02/04/2025
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