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COUNTRY PLACE COUNSELING PLLC NPI 1598085672


NPI Information

NPI: 1598085672
Provider Name: COUNTRY PLACE COUNSELING, PLLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
4255 BRYANT IRVIN RD
SUITE 101
FORT WORTH, TX
ZIP 76109
Phone: (817) 228-4855
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COUNTRY PLACE COUNSELING, PLLC is a clinical social worker in Fort Worth, TX. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. COUNTRY PLACE COUNSELING, PLLC NPI is 1598085672. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4255 BRYANT IRVIN RD
SUITE 101
FORT WORTH, TX
ZIP 76109-233
Phone: (817) 228-4855
Fax: (817) 735-9404

The provider's authorized official is Janet L. Douglas .
The authorized official title is Owner/member Manager and has the following contact phone number (817) 228-4855.

The enumeration date for this NPI number is 6/10/2010 and was last updated on 6/16/2010.


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
11041C0700XSocial WorkerClinical30116TEXASYes

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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