| Counseling Wellness Space | |
|
12650 N Beach St Ste 114-909 Fort Worth TX 76244-4243 | |
| (214) 238-5455 | |
| Not Available |
| Full Name | Counseling Wellness Space |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 12650 N Beach St Ste 114-909, Fort Worth, Texas |
| Authorized Official Name and Position | Matthew Marlin Hand (CO-FOUNDER) |
| Authorized Official Contact | 2142385455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Wellness Space Po Box 369 Fort Worth TX 76244-0369 Ph: (214) 238-5455 | Counseling Wellness Space 12650 N Beach St Ste 114-909 Fort Worth TX 76244-4243 Ph: (214) 238-5455 |
| NPI Number | 1700593712 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700593712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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