Provider Demographics
NPI:1003106618
Name:MEZA-HERNANDEZ, VERONICA (LCSW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:MEZA-HERNANDEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5104 HARRISBURG BLVD
Mailing Address - Street 2:STE 800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-0001
Mailing Address - Country:US
Mailing Address - Phone:832-667-4150
Mailing Address - Fax:833-853-9420
Practice Address - Street 1:5104 HARRISBURG BLVD
Practice Address - Street 2:STE 800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-0001
Practice Address - Country:US
Practice Address - Phone:832-667-4150
Practice Address - Fax:833-853-9420
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-15
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX378811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical