Provider Demographics
NPI:1104521905
Name:GARZA, MARLEEN (MED, LPC-ASSOCIATE)
Entity type:Individual
Prefix:MS
First Name:MARLEEN
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:MED, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 E PIEDRAS DR STE 140
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1425
Mailing Address - Country:US
Mailing Address - Phone:210-699-7079
Mailing Address - Fax:
Practice Address - Street 1:4100 E PIEDRAS DR STE 140
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1425
Practice Address - Country:US
Practice Address - Phone:210-699-7079
Practice Address - Fax:210-569-6192
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91245101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional