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Provider Information for 1083481923


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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MIREYA BELTRE LCSW


Sex: Female

NPI: 1083481923
Last Updated: 2024-11-19
Certification Date: 2024-11-19

Details

NameValue
NPI1083481923
Enumeration Date2023-12-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6936 MYRTLE ST
HOUSTON, TX 77087-1616
United States

Phone: 360-970-4848 | Fax:
 
Primary Practice Address 3200 SOUTHWEST FWY STE 2100
HOUSTON, TX 77027-7525
United States

Phone: 833-208-7770 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTX1083481923
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthTX64932
Yes 1041C0700X - Social Worker - ClinicalTX64932