Provider Demographics
NPI:1912973413
Name:GARZA-AYALA, BARBARA (LPC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:GARZA-AYALA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 OCEAN DR
Mailing Address - Street 2:6000 SOUTH STAPLES SUITE 406
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-2847
Mailing Address - Country:US
Mailing Address - Phone:361-994-0242
Mailing Address - Fax:361-980-0863
Practice Address - Street 1:5701 OCEAN DR
Practice Address - Street 2:6000 SOUTH STAPLES SUITE 406
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-2847
Practice Address - Country:US
Practice Address - Phone:361-994-0242
Practice Address - Fax:361-993-7043
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13782101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4181LCOtherBCBS OF TX
TX4181LCMedicare ID - Type Unspecified