| Michele D. Gortney, Lpc | |
|
240 E Renfro St Suite 201 Burleson TX 76028-3938 | |
| (817) 913-1517 | |
| (817) 295-7815 |
| Full Name | Michele D. Gortney, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 240 E Renfro St, Burleson, Texas |
| Authorized Official Name and Position | Michele D Gortney (COUNSELOR/DIRECTOR) |
| Authorized Official Contact | 8179131517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele D. Gortney, Lpc 240 E Renfro St Suite 201 Burleson TX 76028-3938 Ph: (817) 913-1517 | Michele D. Gortney, Lpc 240 E Renfro St Suite 201 Burleson TX 76028-3938 Ph: (817) 913-1517 |
| NPI Number | 1528459914 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 02/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528459914 | NPI | - | NPPES |
| 2092363 | Medicaid | TX | |
| 193966202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 19940 (Texas) | Primary |
| 1041C0700X | Social Worker - Clinical | 38240 (Texas) | Secondary |
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