Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miguel Gonzalo Lopez IV

Individual provider Professional Counselor · NPI 1558721795

Miguel Gonzalo Lopez IV is a Professional Counselor in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016

Practice location Address checks out

4214 Calmont Ave
Fort Worth, TX 76107-4311
Phone: (956) 648-9222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 80456 (TX)

Record details

NPI number1558721795
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2016
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

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