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Provider Information for 1083270599


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GINKA V VASILEVA LMFT


Other Names:  
Professional Name: 
GUINKA V VASILEVA MS., LMFT

Sex: Female

NPI: 1083270599
Last Updated: 2022-02-01
Certification Date: 2022-01-21

Details

NameValue
NPI1083270599
Enumeration Date2019-05-10
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 29827 S LEGENDS VILLAGE CIR
SPRING, TX 77386-2039
United States

Phone: 713-992-5791 | Fax:
 
Primary Practice Address 256 ED ENGLISH DR STE C
SHENANDOAH, TX 77385-8028
United States

Phone: 713-992-5791 | Fax:
 
Secondary Practice Address(es)

29827 S LEGENDS VILLAGE CIR
SPRING, TX 77386-2039
United States

Phone: 713-992-5791 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)TX203331Texas State Board of Examiners of Marriage and Family Therapists
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
106H00000X - Marriage & Family Therapist
TX203331