Provider Demographics
NPI:1740793728
Name:ELIZONDO, MARIA LIBIA GARZA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LIBIA GARZA
Last Name:ELIZONDO
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 1:5931 GREENVILLE AVE UNIT 5530
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-1906
Mailing Address - Country:US
Mailing Address - Phone:972-799-2221
Mailing Address - Fax:
Practice Address - Street 1:4925 GREENVILLE AVE STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-0500
Practice Address - Country:US
Practice Address - Phone:214-800-2035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-13
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64793101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional