Provider Demographics
NPI:1437528296
Name:HOTZ, MICHAEL (LPC, LCAS)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:HOTZ
Suffix:
Gender:M
Credentials:LPC, LCAS
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:P
Other - Last Name:HOTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:920 E 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:WY
Mailing Address - Zip Code:82240-3022
Mailing Address - Country:US
Mailing Address - Phone:970-466-1364
Mailing Address - Fax:
Practice Address - Street 1:920 E 20TH AVE
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240-3022
Practice Address - Country:US
Practice Address - Phone:970-466-1364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2222101YP2500X
NE3145101YP2500X, 101YP2500X
COLPC.0014158101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional