MEDICARE: MRS. BARBARA GARZA-AYALA LPC

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	101Y00000X	Counselor	13782	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4181LC	OTHER	TX	BCBS OF TX

General Provider Information

NPI Number	:	1912973413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA GARZA-AYALA LPC

Provider Business Mailing Address
First Line	:	5701 OCEAN DR
Second Line	:	6000 SOUTH STAPLES SUITE 406
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78412-2847
Country	:	US
Telephone Number	:	361-994-0242
Fax Number	:	361-980-0863

Provider Business Practice Location Address
First Line	:	5701 OCEAN DR
Second Line	:	6000 SOUTH STAPLES SUITE 406
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78412-2847
Country	:	US
Telephone Number	:	361-994-0242
Fax Number	:	361-993-7043

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	07/08/2007

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Directions to “ MRS. BARBARA GARZA-AYALA LPC” Practice Location

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