MY HEALTH MY RESOURCES OF TARRANT COUNTY NPI 1437349859

NPI Information

MY HEALTH MY RESOURCES OF TARRANT COUNTY is a professional counselor in Fort Worth, TX. MY HEALTH MY RESOURCES OF TARRANT COUNTY NPI is 1437349859. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Lpc Medicaid Group.

The provider's business location address is:

3840 HULEN ST
HTN, CLIENT ACCOUNTING
FORT WORTH, TX
ZIP 76107-277
Phone: (817) 569-4395
Fax: (817) 569-4517

The provider's authorized official is Yolanda F Montes .
The authorized official title is Enrollment Coordinator and has the following contact phone number (817) 569-5235.

The CLIA number assigned to this NPI record is 45D1040420 - other - behavioral center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 8/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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