Provider Demographics
NPI:1265185896
Name:VILLARREAL, MARIAA ANNETTE (MS, LPC)
Entity type:Individual
Prefix:
First Name:MARIAA ANNETTE
Middle Name:
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:MARIAA ANNETTE
Other - Middle Name:
Other - Last Name:CASTANEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:5555 AMESBURY DR # 2-307
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3079
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7121 COLLEYVILLE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-6303
Practice Address - Country:US
Practice Address - Phone:940-220-9307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82521101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional