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NPI Code Detail

MEDICARE: GLORIA H GOMEZ LCDC

MEDICARE:   GLORIA H GOMEZ  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) Counselor17617TX

General Provider Information

NPI Number : 1619829744
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA H GOMEZ LCDC
Provider Business Mailing Address
First Line : 4444 W MAIN ST
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-1737
Country : US
Telephone Number : 409-763-2373
Fax Number : 409-978-2401
Provider Business Practice Location Address
First Line : 4444 W MAIN ST
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-1737
Country : US
Telephone Number : 409-763-2373
Fax Number : 409-978-2401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ GLORIA H GOMEZ LCDC” Practice Location

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