MEDICARE: DR. CASEY ABRAHAM GUTIERREZ PHD, LPC

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
1	101YM0800X	Mental Health Counselor	74446	TX

General Provider Information

NPI Number	:	1447951140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASEY ABRAHAM GUTIERREZ PHD, LPC

Provider Business Mailing Address
First Line	:	1500 CROWLEY RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2100
Country	:	US
Telephone Number	:	817-264-7478
Fax Number	:

Provider Business Practice Location Address
First Line	:	1017 N BOWEN RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2839
Country	:	US
Telephone Number	:	817-264-7478
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2023
Last Update Date	:	01/28/2026

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