| Lifeforce Opportunity Inc | |
|
5601 Bridge St Ste 300 Fort Worth TX 76112-2355 | |
| (817) 492-7187 | |
| (682) 224-0965 |
| Full Name | Lifeforce Opportunity Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5601 Bridge St Ste 300, Fort Worth, Texas |
| Authorized Official Name and Position | Cary Linzy (DIRECTOR) |
| Authorized Official Contact | 8174927187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeforce Opportunity Inc 5601 Bridge St Ste 300 Fort Worth TX 76112-2355 Ph: (817) 492-7187 | Lifeforce Opportunity Inc 5601 Bridge St Ste 300 Fort Worth TX 76112-2355 Ph: (817) 492-7187 |
| NPI Number | 1508176462 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508176462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10641 (Texas) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 5813 (Texas) | Secondary |
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