Juan Moises Bautista, LPCA
Juan Moises Bautista, LPCA is a Mental Health Counselor in Fort Worth, Texas. Qualified in 2025, 1 year ago. Licensed in Texas.
- Years since qualifying
- 1
- Licensed in
- TX
- In the registry since
- 2026
Practice location Address checks out
711 Pennsylvania AveFort Worth, TX 76104-2222
Phone: (903) 957-0082
Fax: (903) 957-0351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 100806 (TX) |
|---|
Record details
| NPI number | 1750232195 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPCA |
| Sole proprietor | No |
| NPI enumerated | February 3, 2026 |
| Last updated in NPPES | February 3, 2026 |
| Certification date | February 3, 2026 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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