Provider Demographics
NPI:1871738484
Name:GUZMAN, JOANNA RB (MS, LMFT, LPC)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:RB
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:MS, LMFT, LPC
Other - Prefix:MS
Other - First Name:JOANNA
Other - Middle Name:R
Other - Last Name:BERRYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFT, LPC
Mailing Address - Street 1:PO BOX 66308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77266-6308
Mailing Address - Country:US
Mailing Address - Phone:832-548-5076
Mailing Address - Fax:713-523-4897
Practice Address - Street 1:6500 ROOKIN ST
Practice Address - Street 2:BUILDING B SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-5019
Practice Address - Country:US
Practice Address - Phone:832-548-5000
Practice Address - Fax:713-523-4897
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64851101YP2500X
TX201318106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080462703Medicaid
TX671836Medicare Oscar/Certification