Provider Demographics
NPI:1588166904
Name:UTZ, CAROLINA (LMFT)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:UTZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 BOXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-4326
Mailing Address - Country:US
Mailing Address - Phone:817-703-6517
Mailing Address - Fax:
Practice Address - Street 1:1229 BOXWOOD DR
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-4326
Practice Address - Country:US
Practice Address - Phone:817-703-6517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202499106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist