Provider Demographics
NPI:1619656956
Name:JUAREZ, EMILY HYLAND (LCSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:HYLAND
Last Name:JUAREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:CLAUDIA
Other - Last Name:HYLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2517 KAIBAB RD
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6588
Mailing Address - Country:US
Mailing Address - Phone:832-499-0291
Mailing Address - Fax:
Practice Address - Street 1:2517 KAIBAB RD
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-6588
Practice Address - Country:US
Practice Address - Phone:832-499-0291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX544681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical