Provider Demographics
NPI:1457057515
Name:VELAZQUEZ, BEATRIZ R (LPC-A)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:R
Last Name:VELAZQUEZ
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20218 BLUE JUNIPER DR # D
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-5625
Mailing Address - Country:US
Mailing Address - Phone:713-298-2656
Mailing Address - Fax:
Practice Address - Street 1:9110 WHEAT CROSS DR STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5215
Practice Address - Country:US
Practice Address - Phone:832-675-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90098101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional