Provider Demographics
NPI:1932666997
Name:HAAK, BEATRIZ E (MS, LMFTA)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:E
Last Name:HAAK
Suffix:
Gender:F
Credentials:MS, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13501 KATY FWY STE 1428
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1305
Mailing Address - Country:US
Mailing Address - Phone:832-516-0440
Mailing Address - Fax:
Practice Address - Street 1:13501 KATY FWY STE 1428
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1305
Practice Address - Country:US
Practice Address - Phone:832-516-0440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203306106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty