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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ISSAC ROY BALLESTEROS, 101Y00000X

Active

ISSAC ROY BALLESTEROS, 101Y00000X is a Counselor healthcare provider located in FORT WORTH, Texas. NPI 1134896863 is currently active in the NPPES registry. Verify at CMS.

Counselor · FORT WORTH, TX

Registration Details

NPI Number
1134896863
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2021 (4.9873181808175 yrs)
Last Updated
Dec 4, 2025
License
99657 (TX)

Practice Information

Address
4200 S HULEN ST STE 436
FORT WORTH, TX, 761094910
Browse TX providers · Browse ZIP 76109
Phone
8179528180
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in FORT WORTH, TX

Name Credential NPI
DR. CAROLYN B GOLDSMITH EDD LPC-S LMFT-S 1306854161
NANCY H CHRISTIE LPC 1538177209
JENIFER M D'SOUZA LPC 1437260346
MR. RON DEWAYNE RANDALL MED LPC LMFT 1932205705
MS. LINDA L BALEY LPC 1629178736
JUDY GAITHER LPC 1568563971
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.