Irene Bautista Lopez, MS, LPC, NCC, RPT
Counselor, Mental Health in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1164021135
StatusActive
Last updated in NPPESOct 7, 2025
Details
- NPI
- 1164021135
- Entity type
- Individual (NPI-1)
- Name
- Irene Bautista Lopez
- Credential
- MS, LPC, NCC, RPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2020
- Certification date
- Oct 7, 2025
- Last updated
- Oct 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LPC013408 | GA | Yes |
Practice location
175 Gwinnett DrLawrenceville, GA 30046-8444
Phone 678-209-2394
Mailing address
3025-B Bethany Church Rd.Suite 1300
Norcross, GA 30039
Phone 803-944-1359
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All 237 Mental Health Counselor providers in Lawrenceville · All 5,967 providers in Lawrenceville
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