Organization
ASCENSION COUNSELING AND WELLNESS SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRA LISETTE HERNANDEZ M.S., LPC (LICENSED PROFESSIONAL COUNSELOR)
(915) 227-4550
Entity
Organization
Contact information
Practice address
440 ROYAL CROWN RD, HORIZON CITY, TX 79928-2112
(915) 227-4550
Mailing address
440 ROYAL CROWN RD, HORIZON CITY, TX 79928-2112
(915) 227-4550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02985004
—
TX
01
—
12179275
CAQH
TX
Enumeration date
12/28/2010
Last updated
06/15/2015
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