Provider Demographics
NPI:1669666780
Name:LOWERY-GARZA, SHANNON COLLEEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:COLLEEN
Last Name:LOWERY-GARZA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 HIGHWAY 7
Mailing Address - Street 2:
Mailing Address - City:EDDY
Mailing Address - State:TX
Mailing Address - Zip Code:76524-2448
Mailing Address - Country:US
Mailing Address - Phone:254-859-5990
Mailing Address - Fax:254-859-5188
Practice Address - Street 1:480 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:EDDY
Practice Address - State:TX
Practice Address - Zip Code:76524-2448
Practice Address - Country:US
Practice Address - Phone:254-859-5990
Practice Address - Fax:254-859-5188
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical