| Jennifer M Eklund, LPC | |
|
1617 Park Place Ave Ste 110, Fort Worth, TX 76110-1300 | |
| (817) 753-8772 | |
| Not Available |
| Full Name | Jennifer M Eklund |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1617 Park Place Ave Ste 110, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013679125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 86962 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 86962 (Texas) | Primary |
| Entity Name | Deep Eddy Psychotherapy Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer M Eklund, LPC 1617 Park Place Ave Ste 110, Fort Worth, TX 76110-1300 Ph: () - | Jennifer M Eklund, LPC 1617 Park Place Ave Ste 110, Fort Worth, TX 76110-1300 Ph: (817) 753-8772 |
Jamie L Cole, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Case Management, Fort Worth, TX 76104 Phone: 682-885-3991 | |
Ms. Yolanda Valenzuela, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1480 | |
Mrs. Kathleen Margaret Bass, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3901 Kirby Dr, #1014, Fort Worth, TX 76155 Phone: 817-915-0359 | |
Felice Mayes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2928 W 5th St, Fort Worth, TX 76107 Phone: 817-332-6348 Fax: 817-332-6489 | |
Jessica Batts, MA, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bridge St, Ste. 300, Fort Worth, TX 76112 Phone: 682-292-8413 | |
Carrie Rimato, Counselor Medicare: Medicare Enrolled Practice Location: 9840 Gallatin Ln, Fort Worth, TX 76177 Phone: 979-236-8325 | |
Brittany Leann Kirk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave Ste 2100, Fort Worth, TX 76104 Phone: 682-885-1480 Fax: 682-885-3600 |