Provider Demographics
NPI:1730400847
Name:VARELA-RIOS, MARTHA LILIA (LP)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:LILIA
Last Name:VARELA-RIOS
Suffix:
Gender:
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 E MAIN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:TX
Mailing Address - Zip Code:78573-0908
Mailing Address - Country:US
Mailing Address - Phone:956-457-3049
Mailing Address - Fax:956-391-2880
Practice Address - Street 1:1114 N ALTON BLVD
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-1030
Practice Address - Country:US
Practice Address - Phone:956-600-6736
Practice Address - Fax:956-391-2880
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-13
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64633101YP2500X
TX39742103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional