Intimacy Counseling & Consulting | |
3900 Merrett Dr Ste C Fort Worth TX 76135-2920 | |
(903) 466-2643 | |
Not Available |
Full Name | Intimacy Counseling & Consulting |
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Speciality | Marriage & Family Therapist |
Location | 3900 Merrett Dr Ste C, Fort Worth, Texas |
Authorized Official Name and Position | Federico Mendez (CEO/OWNER) |
Authorized Official Contact | 8176319991 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Intimacy Counseling & Consulting 4553 Glenview Ct North Richland Hills TX 76180-7349 Ph: (903) 466-2643 | Intimacy Counseling & Consulting 3900 Merrett Dr Ste C Fort Worth TX 76135-2920 Ph: (903) 466-2643 |
NPI Number | 1861170839 |
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Provider Enumeration Date | 07/10/2023 |
Last Update Date | 01/23/2024 |
Certification Date | 01/23/2024 |
Medicare PECOS PAC ID | 4284086158 |
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Medicare Enrollment ID | O20240116002962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861170839 | NPI | - | NPPES |
Provider Name | Federico Mendez |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1336877265 PECOS PAC ID: 9537512769 Enrollment ID: I20240124002216 |
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