Provider Demographics
NPI:1336034362
Name:GONZALEZ, ANAHI (LMSW)
Entity type:Individual
Prefix:
First Name:ANAHI
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 S TEXAS BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6287
Mailing Address - Country:US
Mailing Address - Phone:956-261-5311
Mailing Address - Fax:
Practice Address - Street 1:522 S TEXAS BLVD STE 108
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6287
Practice Address - Country:US
Practice Address - Phone:956-261-5311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64532104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker