Provider Demographics
NPI:1477200236
Name:GARZA, LAURA (LCSW, LCDC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6131 HEIGHTSVIEW LN S APT 914
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-5345
Mailing Address - Country:US
Mailing Address - Phone:816-442-0400
Mailing Address - Fax:
Practice Address - Street 1:6131 HEIGHTSVIEW LN S APT 914
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-5345
Practice Address - Country:US
Practice Address - Phone:816-442-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15697101YA0400X
TX104825104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)