MEDICARE: BRIANNA AURORA VAZQUEZ MA, LPC, ATR

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	101YP2500X	Professional Counselor	92087	TX

General Provider Information

NPI Number	:	1609651629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA AURORA VAZQUEZ MA, LPC, ATR

Provider Business Mailing Address
First Line	:	13870 PASEO CENTRAL AVE
Second Line	:
City	:	HORIZON CITY
State	:	TX
Zip	:	79928-8440
Country	:	US
Telephone Number	:	915-274-6292
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 E COPELAND RD STE 420
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-1315
Country	:	US
Telephone Number	:	817-631-0976
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	12/15/2025

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