# MLDCJC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MLD Mental Health Services of South Texas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427479955
- **Authorized official:** DR. MARK L DANTZKER PH.D. (OWNER/CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (956) 358-8370

## Contact information

- **Practice address:** 5415 N MCCOLL RD, MCALLEN, TX 78504-2206
- **Practice address phone:** (956) 358-8370
- **Mailing address:** 7500 N 21ST ST, MCALLEN, TX 78504-5649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2013
- **Last updated:** 12/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1978108 | — | TX |