Organization
PURA VIDA COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA LEIGH LACY (EXECUTIVE DIRECTOR)
(956) 227-5239
Entity
Organization
Contact information
Practice address
918 WEST NOLANA LOOP, PHARR, TX 78577-8340
(956) 227-5239
Mailing address
918 WEST NOLANA LOOP, PHARR, TX 78577
(956) 227-5239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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