Provider Demographics
NPI:1578260832
Name:PEREZ-OROZCO, TANIA DENISE (MA, LPC-A)
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:DENISE
Last Name:PEREZ-OROZCO
Suffix:
Gender:F
Credentials:MA, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 MYSTIC TOPAZ
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-3790
Mailing Address - Country:US
Mailing Address - Phone:208-350-8234
Mailing Address - Fax:
Practice Address - Street 1:304 MYSTIC TOPAZ
Practice Address - Street 2:
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-3790
Practice Address - Country:US
Practice Address - Phone:208-350-8234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85868101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health