| Empowerment & Counseling Services By Karen, Pllc | |
|
9128 Saint Barts Rd Fort Worth TX 76123-3524 | |
| (352) 870-5127 | |
| Not Available |
| Full Name | Empowerment & Counseling Services By Karen, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9128 Saint Barts Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Karen Elaine Simmons-clifton (OWNER, MANAGER) |
| Authorized Official Contact | 3528705127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment & Counseling Services By Karen, Pllc 9128 Saint Barts Rd Fort Worth TX 76123-3524 Ph: (352) 870-5127 | Empowerment & Counseling Services By Karen, Pllc 9128 Saint Barts Rd Fort Worth TX 76123-3524 Ph: (352) 870-5127 |
| NPI Number | 1417685637 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 0345693453 |
|---|---|
| Medicare Enrollment ID | O20240125000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417685637 | NPI | - | NPPES |
| 17164 | Other | FL | MHC LICENSE |
| 87779 | Other | TX | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Karen Elaine Simmons-clifton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801323415 PECOS PAC ID: 2163875279 Enrollment ID: I20240125000330 |
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