MR. MICHAEL LEE GARDNER LPC NPI 1497773774

NPI Information

  • NPI: 1497773774
  • Provider Name: MR. MICHAEL LEE GARDNER, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 4921 ROYAL DR
    FORT WORTH, TX
    ZIP 76116
  • Phone: (817) 377-1101

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NPI Details

MR. Michael Lee Gardner, LPC is a professional counselor in Fort Worth, TX. MR. Michael Lee Gardner, LPC NPI is 1497773774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4921 ROYAL DR
FORT WORTH, TX
ZIP 76116-827
Phone: (817) 377-1101

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional19711TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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