Provider Demographics
NPI:1336806272
Name:GUICE, MAURSHIA (LCSW)
Entity Type:Individual
Prefix:
First Name:MAURSHIA
Middle Name:
Last Name:GUICE
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 1:12416 HAYSEED CT
Mailing Address - Street 2:
Mailing Address - City:DEL VALLE
Mailing Address - State:TX
Mailing Address - Zip Code:78617-2043
Mailing Address - Country:US
Mailing Address - Phone:719-216-8633
Mailing Address - Fax:
Practice Address - Street 1:12416 HAYSEED CT
Practice Address - Street 2:
Practice Address - City:DEL VALLE
Practice Address - State:TX
Practice Address - Zip Code:78617-2043
Practice Address - Country:US
Practice Address - Phone:719-216-8633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-28
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1037771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical