Provider Demographics
NPI:1306809165
Name:GARZA-HARRIS, ROSALIND (LCSW)
Entity type:Individual
Prefix:
First Name:ROSALIND
Middle Name:
Last Name:GARZA-HARRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6851 CITIZENS PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3620
Mailing Address - Country:US
Mailing Address - Phone:210-299-1444
Mailing Address - Fax:210-299-1446
Practice Address - Street 1:6851 CITIZENS PKWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3620
Practice Address - Country:US
Practice Address - Phone:210-299-1444
Practice Address - Fax:210-299-1446
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1733891-01Medicaid
TX610985Medicare ID - Type Unspecified