FORT WELLNESS PLLC NPI 1285181727

NPI Information

NPI: 1285181727
Provider Name: FORT WELLNESS, PLLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1809 RIDGMAR BLVD
FORT WORTH, TX
ZIP 76116
Phone: (682) 232-4003
Get Directions

FORT WELLNESS, PLLC is an addiction (substance use disorder) counselor in Fort Worth, TX. FORT WELLNESS, PLLC NPI is 1285181727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1809 RIDGMAR BLVD
FORT WORTH, TX
ZIP 76116-018
Phone: (682) 232-4003

The provider's authorized official is Rane Perry Wallace .
The authorized official title is Owner and has the following contact phone number (682) 232-4003.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13854416	OTHER	TEXAS	CAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »