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General NPI Number Information
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NPI Number | 1962360362
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Entity Type | Organization
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Legal Business Name | LOPEZ WELLNESS, PLLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 901 W ROSEDALE ST STE 250
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City | FORT WORTH
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State | TX
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Zip | 76104-4673
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Country | US
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Telephone | 682-239-3123
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Fax |
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Provider Business Mailing Address
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Address Line | 6156 BELL SPRINGS ST
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City | FORT WORTH
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State | TX
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Zip | 76123-4210
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Country | US
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Telephone | 682-239-3123
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLARISSA LOPEZ
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Credential | LCSW
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Telephone | 682-239-3123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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