FORT WORTH BRIEF THERAPY CENTER NPI 1730215724

NPI Information

  • NPI: 1730215724
  • Provider Name: FORT WORTH BRIEF THERAPY CENTER
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 1400 S MAIN ST
    SUITE 509
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 870-1080

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NPI Details

FORT WORTH BRIEF THERAPY CENTER is a counselor in Fort Worth, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. FORT WORTH BRIEF THERAPY CENTER NPI is 1730215724. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 S MAIN ST
SUITE 509
FORT WORTH, TX
ZIP 76104-909
Phone: (817) 870-1080
Fax: (817) 870-1085

The provider's authorized official is Elliott Eugene Connie .
The authorized official title is Co-director, Associate Therapist and has the following contact phone number (817) 870-1080.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 9/11/2025.

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
1101YM0800XCounselorMental Health62681TEXASNo
2101YP2500XCounselorProfessional62681TEXASNo
3101Y00000XCounselor62681TEXASYes

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: 11/21/2025

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