| Positive Influences | |
|
100 E 15th St Suite 340 Ft Worth TX 76102-6550 | |
| (817) 332-2211 | |
| (817) 332-5268 |
| Full Name | Positive Influences |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 E 15th St, Ft Worth, Texas |
| Authorized Official Name and Position | Stacia Lynn Alexander (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8173322211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Influences 100 E 15th St Suite 340 Ft Worth TX 76102-6550 Ph: (817) 332-2211 | Positive Influences 100 E 15th St Suite 340 Ft Worth TX 76102-6550 Ph: (817) 332-2211 |
| NPI Number | 1093013153 |
|---|---|
| Provider Enumeration Date | 03/14/2011 |
| Last Update Date | 03/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093013153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 14591 (Texas) | Primary |
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