Provider Demographics
NPI:1356461297
Name:LOTZ, ALBERT T III (LPCC, LICDC)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:T
Last Name:LOTZ
Suffix:III
Gender:M
Credentials:LPCC, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3724
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-7724
Mailing Address - Country:US
Mailing Address - Phone:330-823-4566
Mailing Address - Fax:330-680-3303
Practice Address - Street 1:470 E MARKET ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-2570
Practice Address - Country:US
Practice Address - Phone:330-823-4566
Practice Address - Fax:330-680-3303
Is Sole Proprietor?:No
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH852010101YA0400X
OHE-584101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional