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SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC NPI 1447672910


NPI Information

NPI: 1447672910
Provider Name: SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC

Doing Business As: WELLBRIDGE HEALTHCARE OF FORT WORTH

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
6200 OVERTON RIDGE BLVD
FORT WORTH, TX
ZIP 76132
Phone: (817) 361-1991
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SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC is a psychiatric hospital in Fort Worth, TX. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC NPI is 1447672910. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellbridge Healthcare Of Fort Worth.

The provider's business location address is:

6200 OVERTON RIDGE BLVD
FORT WORTH, TX
ZIP 76132-000
Phone: (817) 361-1991
Fax: (817) 361-1993

The provider's authorized official is Barbara Shouse .
The authorized official title is Delegated/authorized Official and has the following contact phone number (502) 680-2115.

The enumeration date for this NPI number is 1/17/2014 and was last updated on 4/8/2020.


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
1283Q00000XPsychiatric Hospital100246TEXASYes

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: 11/14/2023

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.