Provider Demographics
NPI:1184809378
Name:SOUTHWEST COUNSELING SERVICES, PC
Entity type:Organization
Organization Name:SOUTHWEST COUNSELING SERVICES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARNA
Authorized Official - Middle Name:VEE
Authorized Official - Last Name:LOECKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-332-3300
Mailing Address - Street 1:1725 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573
Mailing Address - Country:US
Mailing Address - Phone:281-332-3300
Mailing Address - Fax:281-332-0039
Practice Address - Street 1:1725 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4146
Practice Address - Country:US
Practice Address - Phone:281-332-3300
Practice Address - Fax:281-332-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12291101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty