Provider Demographics
NPI:1053921825
Name:CWC WELLNESS, PLLC
Entity type:Organization
Organization Name:CWC WELLNESS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:PALACIOS
Authorized Official - Last Name:REYNA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:956-254-7365
Mailing Address - Street 1:5526 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2713
Mailing Address - Country:US
Mailing Address - Phone:956-254-7365
Mailing Address - Fax:956-720-0834
Practice Address - Street 1:5526 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2713
Practice Address - Country:US
Practice Address - Phone:956-207-9824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty