Provider Demographics
NPI:1790657229
Name:CORTEZ, ESTEBAN S (LMFT)
Entity type:Individual
Prefix:
First Name:ESTEBAN
Middle Name:S
Last Name:CORTEZ
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 FLORENCE RD STE 5
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-7904
Mailing Address - Country:US
Mailing Address - Phone:254-300-7798
Mailing Address - Fax:254-300-9938
Practice Address - Street 1:1519 FLORENCE RD STE 5
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-7904
Practice Address - Country:US
Practice Address - Phone:254-300-7798
Practice Address - Fax:254-300-9938
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205810106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty