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NPI Code Detail

MEDICARE: LUIS PEREZ LPC, LCDC

MEDICARE: LUIS PEREZ LPC, LCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor13166TX
2101YP2500XProfessional Counselor75065TX

General Provider Information

NPI Number : 1295270205
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS PEREZ LPC, LCDC
Provider Business Mailing Address
First Line : 1800 S LOOP 288
Second Line : STE 396, #141
City : DENTON
State : TX
Zip : 76205-4802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12720 HILLCREST RD STE 106
Second Line :
City : DALLAS
State : TX
Zip : 75230-7121
Country : US
Telephone Number : 469-251-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2016
Last Update Date : 07/10/2025

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Directions to “ LUIS PEREZ LPC, LCDC” Practice Location

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