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NPI Code Detail

MEDICARE: JAMIEL K LOTZ LPC

MEDICARE: JAMIEL K LOTZ 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
1101Y00000XCounselor85285TX
2101YM0800XMental Health Counselor85285TX

General Provider Information

NPI Number : 1659056364
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIEL K LOTZ LPC
Provider Business Mailing Address
First Line : 9500 RAY WHITE RD STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9105
Country : US
Telephone Number : 682-593-5395
Fax Number :
Provider Business Practice Location Address
First Line : 1727 KELLER PKWY
Second Line :
City : KELLER
State : TX
Zip : 76248-3705
Country : US
Telephone Number : 661-202-9530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2023
Last Update Date : 02/24/2025

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