Provider Demographics
NPI:1134948466
Name:SZUCS, AVA CAMILLE (MA, LPC-A)
Entity type:Individual
Prefix:
First Name:AVA
Middle Name:CAMILLE
Last Name:SZUCS
Suffix:
Gender:F
Credentials:MA, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12258 QUEENSTON BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5359
Mailing Address - Country:US
Mailing Address - Phone:346-800-7601
Mailing Address - Fax:
Practice Address - Street 1:12258 QUEENSTON BLVD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5359
Practice Address - Country:US
Practice Address - Phone:346-800-7601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95159101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional