MEDICARE: MRS. LAURA GOMEZ-HORTON LCSW

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	1041C0700X	Clinical Social Worker	32030	TX

General Provider Information

NPI Number	:	1760561567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA GOMEZ-HORTON LCSW

Provider Business Mailing Address
First Line	:	2219 KLATTENHOFF DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78728-5480
Country	:	US
Telephone Number	:	512-965-0830
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 S IH 35 STE 110
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78741-3810
Country	:	US
Telephone Number	:	512-326-1222
Fax Number	:

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	03/11/2022

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Directions to “ MRS. LAURA GOMEZ-HORTON LCSW” Practice Location

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