Healthcare Provider Details

I. General information

NPI: 1437528296
Provider Name (Legal Business Name): MICHAEL HOTZ LPC, LCAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MICHAEL P HOTZ LPC

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E 20TH AVE
TORRINGTON WY
82240-3022
US

IV. Provider business mailing address

920 E 20TH AVE
TORRINGTON WY
82240-3022
US

V. Phone/Fax

Practice location:
  • Phone: 970-466-1364
  • Fax:
Mailing address:
  • Phone: 970-466-1364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2222
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3145
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: