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MY HEALTH MY RESOURCES OF TARRANT COUNTY NPI 1376590422


NPI Information

NPI: 1376590422
Provider Name: MY HEALTH MY RESOURCES OF TARRANT COUNTY

Doing Business As: MHMR OF TARRANT COUNTY

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
3840 HULEN ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 569-4395
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MY HEALTH MY RESOURCES OF TARRANT COUNTY is a psychiatry psychiatry neurology in Fort Worth, TX. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MY HEALTH MY RESOURCES OF TARRANT COUNTY NPI is 1376590422. The provider is registered as an organization entity type.
The provider Is Doing Business As Mhmr Of Tarrant County.

The provider's business location address is:

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

The provider's authorized official is Angie Swett .
The authorized official title is Provider Enrollment Supervisor and has the following contact phone number (817) 569-4039.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 5/22/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
6320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
7324500000XSubstance Abuse Rehabilitation FacilityNo
82084P0800XPsychiatry & NeurologyPsychiatryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1135082901MEDICAIDTEXAS
2135082907MEDICAIDTEXAS
3135082908MEDICAIDTEXAS
4135082905MEDICAIDTEXAS
5081599501MEDICAIDTEXAS
6135082906MEDICAIDTEXAS
7135082902MEDICAIDTEXAS

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

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