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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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