| Blackbird Behavioral Health Pllc | |
|
620 Clearbrook St Azle TX 76020-3076 | |
| (817) 304-6748 | |
| Not Available |
| Full Name | Blackbird Behavioral Health Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 620 Clearbrook St, Azle, Texas |
| Authorized Official Name and Position | Mary Schaaf (OWNER/OPERATOR) |
| Authorized Official Contact | 8173046748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackbird Behavioral Health Pllc 620 Clearbrook St Azle TX 76020-3076 Ph: (817) 304-6748 | Blackbird Behavioral Health Pllc 620 Clearbrook St Azle TX 76020-3076 Ph: (817) 304-6748 |
| NPI Number | 1003578329 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003578329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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