| One Tribe Foundation | |
|
855 Texas St Ste 105 Fort Worth TX 76102-4574 | |
| (682) 990-6242 | |
| Not Available |
| Full Name | One Tribe Foundation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 855 Texas St Ste 105, Fort Worth, Texas |
| Authorized Official Name and Position | Andrew Carlton (CONSULTANT) |
| Authorized Official Contact | 8179965867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Tribe Foundation 13625 Neutron Rd Dallas TX 75244-4411 Ph: () - | One Tribe Foundation 855 Texas St Ste 105 Fort Worth TX 76102-4574 Ph: (682) 990-6242 |
| NPI Number | 1033733266 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 06/03/2020 |
| Certification Date | 06/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033733266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
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