Provider Demographics
NPI:1699405076
Name:BORJA, VERONICA (LMSW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:BORJA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7310 MANCHACA RD UNIT 151748
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78715-5071
Mailing Address - Country:US
Mailing Address - Phone:512-577-2255
Mailing Address - Fax:
Practice Address - Street 1:7310 MANCHACA RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78715-5071
Practice Address - Country:US
Practice Address - Phone:512-577-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker