Provider Demographics
NPI:1407615578
Name:GOMEZ MORALEZ, KAREN LIZBETH I (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LIZBETH
Last Name:GOMEZ MORALEZ
Suffix:I
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 1:8700 MENCHACA RD STE 704
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5378
Mailing Address - Country:US
Mailing Address - Phone:737-297-9110
Mailing Address - Fax:
Practice Address - Street 1:8700 MENCHACA RD STE 704
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5378
Practice Address - Country:US
Practice Address - Phone:737-297-9110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93948101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional