Provider Demographics
NPI:1619122090
Name:GARZA, OLGA LISA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:LISA
Last Name:GARZA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1962
Mailing Address - Street 2:
Mailing Address - City:ELSA
Mailing Address - State:TX
Mailing Address - Zip Code:78543-1962
Mailing Address - Country:US
Mailing Address - Phone:956-457-0063
Mailing Address - Fax:
Practice Address - Street 1:536 S TEXAS BLVD STE 210
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6259
Practice Address - Country:US
Practice Address - Phone:956-457-0063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59865101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional