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General NPI Number Information
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NPI Number | 1851883961
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Entity Type | Organization
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Legal Business Name | HEATHER D PEREZ LPC PLLC
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 6777 CAMP BOWIE BLVD STE 229
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City | FORT WORTH
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State | TX
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Zip | 76116-7157
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Country | US
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Telephone | 682-703-1311
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Fax | 817-735-4688
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Provider Business Mailing Address
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Address Line | 6777 CAMP BOWIE BLVD STE 229
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City | FORT WORTH
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State | TX
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Zip | 76116-7157
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Country | US
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Telephone | 682-703-1311
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Fax | 817-735-4688
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER DAWN PEREZ TROWBRIDGE
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Credential | LPC
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Telephone | 682-231-1456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 71867
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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