Provider Demographics
NPI:1861011538
Name:CALZADA, RICHARD-MICHAEL (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD-MICHAEL
Middle Name:
Last Name:CALZADA
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 OAK VLY
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-6561
Mailing Address - Country:US
Mailing Address - Phone:956-369-6947
Mailing Address - Fax:
Practice Address - Street 1:207 W HICKORY ST
Practice Address - Street 2:STE 301
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3064
Practice Address - Country:US
Practice Address - Phone:940-291-3018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-13
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77602101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty