Provider Demographics
NPI:1710797063
Name:VILLANUEVA, RINA RENEE (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:RINA
Middle Name:RENEE
Last Name:VILLANUEVA
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 EAGLE MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-6829
Mailing Address - Country:US
Mailing Address - Phone:956-437-7142
Mailing Address - Fax:
Practice Address - Street 1:427 EAGLE MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6829
Practice Address - Country:US
Practice Address - Phone:956-437-7142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97456101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional