Provider Demographics
NPI:1942680780
Name:ALHARAZIM, MONICA ELIZABETH (PHD, LPC-S, CRC)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ELIZABETH
Last Name:ALHARAZIM
Suffix:
Gender:F
Credentials:PHD, LPC-S, CRC
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:ELIZABETH
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LPC-S, CRC
Mailing Address - Street 1:P.O. BOX 908261
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098
Mailing Address - Country:US
Mailing Address - Phone:713-389-8535
Mailing Address - Fax:713-588-1831
Practice Address - Street 1:1322 SPACE PARK DRIVE B143
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:346-503-9419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-07
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71153101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3571143Medicaid