Organization
HOLY FAMILY PSYCHOTHERAPY TRAINING INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN GERARDO GALVAN-RODRIGUEZ LCSW (OWNER/PSYCHOTHERAPIST)
(956) 744-5137
Entity
Organization
Contact information
Practice address
1414 N MEADOW AVE STE 1, LAREDO, TX 78040-8701
(956) 744-5137
(956) 462-5003
Mailing address
3511 CUATRO VIENTOS DR, LAREDO, TX 78046-6946
(956) 744-5137
(956) 462-5003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
52925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147266-02
—
TX
05
—
2147266-03
—
TX
01
—
TXB157421
MEDICARE PTA
TX
Enumeration date
09/01/2014
Last updated
08/09/2024
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