Provider Demographics
NPI:1366153942
Name:PAZ, ALICIA (MENTAL HEALTH PEER S)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:PAZ
Suffix:
Gender:F
Credentials:MENTAL HEALTH PEER S
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:PAZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:#1122
Mailing Address - Street 2:1919 TAYLOR STREET STE F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-1540
Mailing Address - Country:US
Mailing Address - Phone:713-240-4888
Mailing Address - Fax:
Practice Address - Street 1:#1122 1919 TAYLOR STREET STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007
Practice Address - Country:US
Practice Address - Phone:713-240-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1480-0521175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty