Provider Demographics
NPI:1447856588
Name:THE COGNITIVE BEHAVIORAL INSTITUTE OF EL PASO
Entity type:Organization
Organization Name:THE COGNITIVE BEHAVIORAL INSTITUTE OF EL PASO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GRISELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLALOBOS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHOLOGIST
Authorized Official - Phone:915-433-4183
Mailing Address - Street 1:1316 N YARBROUGH DR STE 2A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7803
Mailing Address - Country:US
Mailing Address - Phone:915-433-4183
Mailing Address - Fax:844-691-1283
Practice Address - Street 1:1316 N YARBROUGH DR STE 2A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7803
Practice Address - Country:US
Practice Address - Phone:915-373-6021
Practice Address - Fax:844-691-1283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty