MEDICARE: ROXANA SOMONTE LOPEZ 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	84109	TX

General Provider Information

NPI Number	:	1255052908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANA SOMONTE LOPEZ LPC

Provider Business Mailing Address
First Line	:	21023 BELMONT VILLAGE WAY
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-3193
Country	:	US
Telephone Number	:	832-860-8084
Fax Number	:

Provider Business Practice Location Address
First Line	:	21023 BELMONT VILLAGE WAY
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-3193
Country	:	US
Telephone Number	:	832-416-1253
Fax Number	:

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

Provider Enumeration Date	:	09/09/2022
Last Update Date	:	03/19/2026

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