Provider Demographics
NPI:1093494676
Name:GARZA, AMANDA (LPC ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1638 W ALABAMA ST # 2
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-4102
Mailing Address - Country:US
Mailing Address - Phone:832-387-5735
Mailing Address - Fax:
Practice Address - Street 1:627 W 19TH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3685
Practice Address - Country:US
Practice Address - Phone:832-387-5735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85734101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health