| Canary Ridge Counseling Pllc | |
|
2501 Parkview Dr Ste 316e Fort Worth TX 76102-5824 | |
| (817) 692-5467 | |
| Not Available |
| Full Name | Canary Ridge Counseling Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2501 Parkview Dr Ste 316e, Fort Worth, Texas |
| Authorized Official Name and Position | Jennifer Beaman (OWNER) |
| Authorized Official Contact | 8176925467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canary Ridge Counseling Pllc 2501 Parkview Dr Ste 316e Fort Worth TX 76102-5824 Ph: () - | Canary Ridge Counseling Pllc 2501 Parkview Dr Ste 316e Fort Worth TX 76102-5824 Ph: (817) 692-5467 |
| NPI Number | 1477191385 |
|---|---|
| Provider Enumeration Date | 12/11/2019 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477191385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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