Provider Demographics
NPI:1114713815
Name:VELAZQUEZ, KARLA SARAI
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:SARAI
Last Name:VELAZQUEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 N MOCKINGBIRD AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-4765
Mailing Address - Country:US
Mailing Address - Phone:956-522-9428
Mailing Address - Fax:
Practice Address - Street 1:302 N MOCKINGBIRD AVE
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4765
Practice Address - Country:US
Practice Address - Phone:956-522-9428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98067101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor