Provider Demographics
NPI:1205413408
Name:MUNETSI, HATIRUZEZI (ATR-P, LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:HATIRUZEZI
Middle Name:
Last Name:MUNETSI
Suffix:
Gender:F
Credentials:ATR-P, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 N COLLINS BLVD STE 411
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2665
Mailing Address - Country:US
Mailing Address - Phone:214-850-5822
Mailing Address - Fax:
Practice Address - Street 1:917 CALVIN DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-3607
Practice Address - Country:US
Practice Address - Phone:121-485-0582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82859101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health