Individual
ANVITA KOTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
720 LAKE CAROLYN PKWY APT 128W, IRVING, TX 75039-3984
(802) 884-0895
Mailing address
720 LAKE CAROLYN PKWY APT 128W, IRVING, TX 75039-3984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
96867
TX
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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