Organization
PREVAIL COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA GONZALEZ CM (CASE MANAGER)
(915) 777-6072
Entity
Organization
Contact information
Practice address
9425 CONEJO LN, EL PASO, TX 79907-5613
(915) 777-6072
Mailing address
11860 VISTA DEL SOL DR STE 104, EL PASO, TX 79936-6128
(915) 329-8149
(915) 773-0028
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
07/01/2024
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