Individual provider · Type 1 NPI

Amanda Goertz

Professional Counselor · Fort Worth, TX

NPI number 1730045600 Active

Practice location

5751 Kroger Dr Ste 114
Fort Worth, TX 76244-5633

Mailing address

637 N Hampton St Apt 2312
Fort Worth, TX 76102-5046

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1730045600

Amanda Goertz's National Provider Identifier is 1730045600, issued on Jan 5, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 5, 2026.