Provider Demographics
NPI:1871926089
Name:MARITZA MARTINEZ-CHINCHILLA AND ASSOCIATES
Entity type:Organization
Organization Name:MARITZA MARTINEZ-CHINCHILLA AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ-CHINCHILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-646-5691
Mailing Address - Street 1:991 BUOY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-5119
Mailing Address - Country:US
Mailing Address - Phone:832-646-5691
Mailing Address - Fax:
Practice Address - Street 1:991 BUOY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-5119
Practice Address - Country:US
Practice Address - Phone:832-646-5691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7954101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty