MEDICARE: LORRETTA ROBERTS LPC-ASSOCIATE

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	101YM0800X	Mental Health Counselor	93280	TX

General Provider Information

NPI Number	:	1659135457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRETTA ROBERTS LPC-ASSOCIATE

Provider Business Mailing Address
First Line	:	800 N FM 3083 RD W APT 4200
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77303-2040
Country	:	US
Telephone Number	:	832-836-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	5602 ELM TREE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-1844
Country	:	US
Telephone Number	:	832-836-8400
Fax Number	:

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

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	02/03/2026

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