Provider Demographics
NPI:1336466044
Name:GARZA, MARITZA (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:MARITZA
Other - Middle Name:
Other - Last Name:GARZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9080 58TH DR E
Mailing Address - Street 2:200B
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-6111
Mailing Address - Country:US
Mailing Address - Phone:805-201-8406
Mailing Address - Fax:
Practice Address - Street 1:9080 58TH DR E
Practice Address - Street 2:200B
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-6111
Practice Address - Country:US
Practice Address - Phone:805-201-8406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist