Provider Demographics
NPI:1528802329
Name:GARNER, TANYA JEAN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:JEAN
Last Name:GARNER
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7006 CAYMAN CT
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1153
Mailing Address - Country:US
Mailing Address - Phone:806-676-4618
Mailing Address - Fax:
Practice Address - Street 1:6666 W AMARILLO BLVD UNIT 21
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1752
Practice Address - Country:US
Practice Address - Phone:806-676-4618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95595101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty