Healthcare Provider Details

I. General information

NPI: 1043154933
Provider Name (Legal Business Name): EMILY GARZA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N OAK PARK AVE FL 2
OAK PARK IL
60301-1364
US

IV. Provider business mailing address

810 PLEASANT ST
OAK PARK IL
60302-3169
US

V. Phone/Fax

Practice location:
  • Phone: 773-423-8447
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178021539
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: