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NPI Code Detail

MEDICARE: LITD TRAUMA COUNSELING, PLLC

MEDICARE: LITD TRAUMA COUNSELING, PLLC
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1063391175
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITD TRAUMA COUNSELING, PLLC
Provider Business Mailing Address
First Line : 900 8TH ST STE 600
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76301-6807
Country : US
Telephone Number : 940-239-9169
Fax Number :
Provider Business Practice Location Address
First Line : 900 8TH ST STE 600
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76301-6807
Country : US
Telephone Number : 940-239-9169
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : LOLITA BAKER
Credential : LPC
Telephone Number : 940-239-9169
Provider Enumeration Date : 09/02/2025
Last Update Date : 09/02/2025

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Directions to “LITD TRAUMA COUNSELING, PLLC ” Practice Location

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