Individual provider · Type 1 NPI
Juan Moises Bautista, LPC A
Mental Health Counselor · Fort Worth, TX
NPI number
1750232195
Active
Practice location
711 Pennsylvania Ave
Fort Worth, TX 76104-2222
Fax (903) 957-0351
Mailing address
425 N Highland Ave # 260
Sherman, TX 75092-7377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 100806 (TX) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1750232195
Juan Moises Bautista, LPC A's National Provider Identifier is 1750232195, issued on Feb 3, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 3, 2026.