Provider Demographics
NPI:1710347810
Name:BRANDI GARZA LPC
Entity Type:Organization
Organization Name:BRANDI GARZA LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:214-284-6800
Mailing Address - Street 1:3221 COMMERCE ST
Mailing Address - Street 2:APT 110
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75226-2560
Mailing Address - Country:US
Mailing Address - Phone:214-284-6800
Mailing Address - Fax:
Practice Address - Street 1:3221 COMMERCE ST
Practice Address - Street 2:APT 110
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226-2560
Practice Address - Country:US
Practice Address - Phone:214-284-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69055251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health