Provider Demographics
NPI:1013782234
Name:GALVAO DE ARAUJO, FABIANA M (LPCA)
Entity type:Individual
Prefix:
First Name:FABIANA
Middle Name:M
Last Name:GALVAO DE ARAUJO
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 RICHMOND CIR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5186
Mailing Address - Country:US
Mailing Address - Phone:817-889-5677
Mailing Address - Fax:
Practice Address - Street 1:405 AIRPORT FWY
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5358
Practice Address - Country:US
Practice Address - Phone:817-476-0433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91935101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional