REBECCA GORMAN LPC ASSOCIATE
NPI 1114739810
Counselor - Professional in Fort Worth, TX
Active since January 21, 2025
About Rebecca Gorman Lpc Associate NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA GORMAN LPC ASSOCIATE (NPI 1114739810) is an individual professional provider in Fort Worth, Texas and active in the NPI registry since January 2025.
NPPES Registry Identity
NPI1114739810
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameREBECCA GORMANCredential: LPC ASSOCIATE
Location Address4017 E 1ST STFort Worth, TX 76111-7003
Mailing Address4017 E 1st StFort Worth, TX 76111-7003 · (432) 634-0565
Phone(432) 634-0565
Sole ProprietorNo
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1114739810 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4017 E 1ST ST, Fort Worth, TX 76111
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114739810, enumerated as an "individual" on January 21, 2025.
The provider is located at 4017 E 1ST ST FORT WORTH, TX 76111 and the phone number is (432) 634-0565.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
