| Stafford Healing Consultants, Llc | |
|
3109 6th Ave Ste B Fort Worth TX 76110-3800 | |
| (214) 674-0798 | |
| (682) 312-8313 |
| Full Name | Stafford Healing Consultants, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3109 6th Ave Ste B, Fort Worth, Texas |
| Authorized Official Name and Position | Ashley Elizabeth Stafford (OWNER) |
| Authorized Official Contact | 2146740798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stafford Healing Consultants, Llc 3359 Cromart Ave Fort Worth TX 76133-1439 Ph: (214) 674-0798 | Stafford Healing Consultants, Llc 3109 6th Ave Ste B Fort Worth TX 76110-3800 Ph: (214) 674-0798 |
| NPI Number | 1417433749 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/19/2018 |
| Medicare PECOS PAC ID | 3971853458 |
|---|---|
| Medicare Enrollment ID | O20180904001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417433749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 63341 (Texas) | Primary |
| Provider Name | Ashley E Stafford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336685346 PECOS PAC ID: 3971867920 Enrollment ID: I20180430000604 |
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