MEDICARE: MUD HOOK MENTAL HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1225739196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUD HOOK MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	650 BEEBALM LN STE 240
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-3008
Country	:	US
Telephone Number	:	214-501-3148
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 BEEBALM LN STE 240
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-3008
Country	:	US
Telephone Number	:	214-501-3148
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	BRANDI LEE GARZA
Credential	:	LPCS
Telephone Number	:	214-284-6800

Provider Enumeration Date	:	03/16/2023
Last Update Date	:	01/28/2026

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