Provider Demographics
NPI:1952024978
Name:GUZMAN, ELIA ANN (LPC-A)
Entity Type:Individual
Prefix:
First Name:ELIA
Middle Name:ANN
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:MS
Other - First Name:ELIA
Other - Middle Name:ANN
Other - Last Name:GUZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6335 COUNTY ROAD 5228
Mailing Address - Street 2:
Mailing Address - City:HONDO
Mailing Address - State:TX
Mailing Address - Zip Code:78861-5421
Mailing Address - Country:US
Mailing Address - Phone:830-423-7600
Mailing Address - Fax:
Practice Address - Street 1:7120 COUNTY ROAD 5219
Practice Address - Street 2:
Practice Address - City:D'HANIS
Practice Address - State:TX
Practice Address - Zip Code:78850
Practice Address - Country:US
Practice Address - Phone:830-423-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89993101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional