| Fort Worth Brief Therapy Center, Pllc | |
|
3113 S University Dr Ste 201 Ft Worth TX 76109-5616 | |
| (817) 923-1444 | |
| (817) 923-1490 |
| Full Name | Fort Worth Brief Therapy Center, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3113 S University Dr, Ft Worth, Texas |
| Authorized Official Name and Position | Mathew A. Trammell (CO-OWNER) |
| Authorized Official Contact | 8173016322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Brief Therapy Center, Pllc 800 Us Highway 287 Suite 1 Rhome TX 76078-4323 Ph: (817) 301-6322 | Fort Worth Brief Therapy Center, Pllc 3113 S University Dr Ste 201 Ft Worth TX 76109-5616 Ph: (817) 923-1444 |
| NPI Number | 1417295445 |
|---|---|
| Provider Enumeration Date | 01/25/2013 |
| Last Update Date | 01/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417295445 | NPI | - | NPPES |
| 219912701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 62762 (Texas) | Primary |
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