Provider Demographics
NPI:1962138701
Name:GARZA, HANNA (LPC)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:GARZA
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 1:50 REGENT ST APT 812
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-6265
Mailing Address - Country:US
Mailing Address - Phone:929-777-4677
Mailing Address - Fax:
Practice Address - Street 1:50 REGENT ST APT 812
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-6265
Practice Address - Country:US
Practice Address - Phone:929-777-4677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional