| Kellie Mclarty Lpc | |
|
4200 S Hulen St Suite 318 Fort Worth TX 76109-4914 | |
| (817) 296-6053 | |
| Not Available |
| Full Name | Kellie Mclarty Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4200 S Hulen St, Fort Worth, Texas |
| Authorized Official Name and Position | Kellie A Mclarty (LPC, LCDC) |
| Authorized Official Contact | 8172966053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Mclarty Lpc 4200 Hulen St. Suite 318 Fort Worth TX 76109 Ph: (817) 296-6053 | Kellie Mclarty Lpc 4200 S Hulen St Suite 318 Fort Worth TX 76109-4914 Ph: (817) 296-6053 |
| NPI Number | 1932595444 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 04/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932595444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7917 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 19717 (Texas) | Primary |
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