| Intentional Hearts Counseling And Consulting Pllc | |
|
5613 Mount Storm Way Fort Worth TX 76179-4438 | |
| (773) 996-3797 | |
| Not Available |
| Full Name | Intentional Hearts Counseling And Consulting Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5613 Mount Storm Way, Fort Worth, Texas |
| Authorized Official Name and Position | Tamelia Williams (ADMINISTRATOR) |
| Authorized Official Contact | 7739963797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Hearts Counseling And Consulting Pllc 5613 Mount Storm Way Fort Worth TX 76179-4438 Ph: (773) 996-3797 | Intentional Hearts Counseling And Consulting Pllc 5613 Mount Storm Way Fort Worth TX 76179-4438 Ph: (773) 996-3797 |
| NPI Number | 1720858947 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720858947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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