MEDICARE: RAQUEL ALCORTA 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	101YP2500X	Professional Counselor	84634	TX

General Provider Information

NPI Number	:	1962357848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL ALCORTA LPC

Provider Business Mailing Address
First Line	:	2517 WATERLOO LN
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-2517
Country	:	US
Telephone Number	:	214-629-7002
Fax Number	:

Provider Business Practice Location Address
First Line	:	3303 LEE PKWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-5108
Country	:	US
Telephone Number	:	214-357-4001
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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