Provider Demographics
NPI:1144987629
Name:OLVERA, STEPHANIE VILLARREAL (LMFT, LCDC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:VILLARREAL
Last Name:OLVERA
Suffix:
Gender:F
Credentials:LMFT, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 MCALLEN ST
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-2331
Mailing Address - Country:US
Mailing Address - Phone:956-351-7994
Mailing Address - Fax:
Practice Address - Street 1:201 MCALLEN ST
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2331
Practice Address - Country:US
Practice Address - Phone:956-351-7994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204168106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist