Organization Name: | BRAZORIA COUNTY COUNSELING CENTER, LLC |
NPI Number: | 1013351626 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DELMA GARZA (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 120 E Plum St Angleton |
State: | TX US |
Postal Code: | 775156012 |
Phone Number: | 2819100921 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2013 |
NPI Last Update Date: | 07/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 62789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |