| Gallo Therapy | |
|
1509 S University Dr Ste B212 Fort Worth TX 76107-9501 | |
| (817) 454-9683 | |
| Not Available |
| Full Name | Gallo Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1509 S University Dr Ste B212, Fort Worth, Texas |
| Authorized Official Name and Position | Angela Gallo (OWNER/LMFT) |
| Authorized Official Contact | 8174549683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallo Therapy 2808 Sadler Ave Fort Worth TX 76133-1822 Ph: (817) 454-9683 | Gallo Therapy 1509 S University Dr Ste B212 Fort Worth TX 76107-9501 Ph: (817) 454-9683 |
| NPI Number | 1366012916 |
|---|---|
| Provider Enumeration Date | 06/27/2021 |
| Last Update Date | 07/01/2021 |
| Certification Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366012916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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