Healthcare Provider Details

I. General information

NPI: 1457811069
Provider Name (Legal Business Name): LINZEY GUERRA-STELLA LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINZEY GUERRA

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W ROSEDALE ST STE 250
FORT WORTH TX
76104-4673
US

IV. Provider business mailing address

901 W ROSEDALE ST STE 250
FORT WORTH TX
76104-4673
US

V. Phone/Fax

Practice location:
  • Phone: 817-330-9183
  • Fax:
Mailing address:
  • Phone: 817-330-9183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number91777
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number91777
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number91777
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: