MS. GLORIA JEAN WALLER LPC
NPI 1154811438
Counselor - Professional in El Paso, TX
Active since May 13, 2018
About Ms. Gloria Jean Waller Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. GLORIA JEAN WALLER LPC (NPI 1154811438) is an individual professional provider in El Paso, Texas, licensed in Texas (73537) and active in the NPI registry since May 2018.
NPPES Registry Identity
NPI1154811438
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. GLORIA JEAN WALLERCredential: LPC
Location Address1900 DENVER AVEEl Paso, TX 79902-3008
Mailing Address4365 Loma Alegre DrEl Paso, TX 79934-3766 · (915) 328-2595 · Fax (915) 639-9532
Phone(915) 544-2349
Fax(915) 639-9532
Sole ProprietorNo
Enumeration DateMay 13, 2018
Last NPPES UpdateJune 5, 20202 updates tracked since enumeration
NPPES CertifiedJune 5, 2020
✔ NPI 1154811438 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 73537
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12881 (TX)
1900 DENVER AVE, El Paso, TX 79902
Other Names 1
Professional Name (2)Ms. Gloria James Waller Lcdc
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1900 DENVER AVE
EL PASO, TX 79902
EL PASO, TX 79902
Psychiatry & Neurology (Forensic Psychiatry)
1900 DENVER AVE
EL PASO, TX 79902
EL PASO, TX 79902
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154811438, enumerated as an "individual" on May 13, 2018.
The provider is located at 1900 DENVER AVE EL PASO, TX 79902 and the phone number is (915) 544-2349.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
