Healthcare Provider Details

I. General information

NPI: 1558087965
Provider Name (Legal Business Name): LIZBETH BARRERA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 ELM ST STE 204
MANCHESTER NH
03101-1844
US

IV. Provider business mailing address

2705 NICOLE DR
MISSION TX
78574-9574
US

V. Phone/Fax

Practice location:
  • Phone: 888-500-2067
  • Fax:
Mailing address:
  • Phone: 956-533-0191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number108910
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberEL33384
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: