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NPI Code Detail

MEDICARE: HEATHER D PEREZ LPC PLLC

MEDICARE: HEATHER D PEREZ LPC 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 Counselor71867TX
2101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851883961
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEATHER D PEREZ LPC PLLC
Provider Business Mailing Address
First Line : 6777 CAMP BOWIE BLVD STE 229
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7157
Country : US
Telephone Number : 682-703-1311
Fax Number : 817-887-1694
Provider Business Practice Location Address
First Line : 6777 CAMP BOWIE BLVD STE 229
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7157
Country : US
Telephone Number : 682-703-1311
Fax Number : 817-887-1694
Authorized Official
Title or Position : OWNER
Name : HEATHER DAWN PEREZ TROWBRIDGE
Credential : LPC-S
Telephone Number : 682-231-1456
Provider Enumeration Date : 06/04/2018
Last Update Date : 01/30/2026

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1396102356 — HEATHER DAWN PEREZ TROWBRIDGE LPC
Practice Location Address:
6777 CAMP BOWIE BLVD STE 229
FORT WORTH, TX
76116-7157
Practice Phone: 682-231-1456
Practice Fax: 817-887-1694

Directions to “HEATHER D PEREZ LPC PLLC ” Practice Location

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