Provider Demographics
NPI:1871248708
Name:CARRANZA, ADRIANA ISABEL (LCSW)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:ISABEL
Last Name:CARRANZA
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 1:2733 CUMBERLAND TRL
Mailing Address - Street 2:
Mailing Address - City:BALCH SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2159
Mailing Address - Country:US
Mailing Address - Phone:517-993-4187
Mailing Address - Fax:
Practice Address - Street 1:1881 SYLVAN AVE STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2031
Practice Address - Country:US
Practice Address - Phone:214-331-0107
Practice Address - Fax:214-331-0153
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX675351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical