Provider Demographics
NPI:1114697406
Name:GARZA, BRANDI LEE (MA, LPC)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:LEE
Last Name:GARZA
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-8619
Mailing Address - Country:US
Mailing Address - Phone:214-284-6800
Mailing Address - Fax:
Practice Address - Street 1:2300 W FM 544 STE 245
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-4931
Practice Address - Country:US
Practice Address - Phone:214-307-9546
Practice Address - Fax:214-299-9933
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69055101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional