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MERIT FAMILY SERVICES NPI 1629021282


NPI Information

NPI: 1629021282
Provider Name: MERIT FAMILY SERVICES

Former Legal Business Name: MERIT CHEMICAL DEPENDENCY PROGRAM, INC

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3807 E LANCASTER AVE
FORT WORTH, TX
ZIP 76103
Phone: (817) 413-9463
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MERIT FAMILY SERVICES is a professional counselor in Fort Worth, TX. MERIT FAMILY SERVICES NPI is 1629021282. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Merit Chemical Dependency Program, Inc.

The provider's business location address is:

3807 E LANCASTER AVE
FORT WORTH, TX
ZIP 76103-522
Phone: (817) 413-9463
Fax: (817) 413-9189

The provider's authorized official is Carol Jones Blackmon .
The authorized official title is Executive Director and has the following contact phone number (817) 413-9463.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 12/23/2013.


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
1251B00000XCase Management1631756-02TEXASNo
2101YP2500XCounselorProfessional1631756-03TEXASYes

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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