Provider Demographics
NPI:1043405947
Name:GUZMAN-GARZA, SYLVIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:GUZMAN-GARZA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 S CASA RD
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6613
Mailing Address - Country:US
Mailing Address - Phone:956-566-6967
Mailing Address - Fax:
Practice Address - Street 1:806 S CASA RD
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6613
Practice Address - Country:US
Practice Address - Phone:956-566-6967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19794101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176214801Medicaid