Je'serai Therapy Services | |
4500 Mercantile Plaza Dr Ste 300 Fort Worth TX 76137-4206 | |
(817) 533-8741 | |
(972) 945-9252 |
Full Name | Je'serai Therapy Services |
---|---|
Speciality | Counselor - Professional |
Location | 4500 Mercantile Plaza Dr Ste 300, Fort Worth, Texas |
Authorized Official Name and Position | Monique K. Braggs (OWNER) |
Authorized Official Contact | 8175338741 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Je'serai Therapy Services 4500 Mercantile Plaza Dr Ste 300 Fort Worth TX 76137-4206 Ph: (817) 533-8741 | Je'serai Therapy Services 4500 Mercantile Plaza Dr Ste 300 Fort Worth TX 76137-4206 Ph: (817) 533-8741 |
NPI Number | 1336660877 |
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Provider Enumeration Date | 07/06/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336660877 | NPI | - | NPPES |
369798902 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 73342 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 73342 (Texas) | Primary |
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