| Sw Fw Mental Health , Pllc | |
|
6628 Bryant Irvin Rd Ste 200 Ft Worth TX 76132-4221 | |
| (214) 842-9581 | |
| Not Available |
| Full Name | Sw Fw Mental Health , Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6628 Bryant Irvin Rd Ste 200, Ft Worth, Texas |
| Authorized Official Name and Position | Ashley Smith (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2148429581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sw Fw Mental Health , Pllc 103 Wilshire Dr Euless TX 76040-4101 Ph: (214) 842-9581 | Sw Fw Mental Health , Pllc 6628 Bryant Irvin Rd Ste 200 Ft Worth TX 76132-4221 Ph: (214) 842-9581 |
| NPI Number | 1427769348 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/09/2022 |
| Medicare PECOS PAC ID | 4688033202 |
|---|---|
| Medicare Enrollment ID | O20230629002923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427769348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ashley Saneka Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881166759 PECOS PAC ID: 5597124115 Enrollment ID: I20230719003903 |
| Provider Name | Joy White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629763784 PECOS PAC ID: 3577923770 Enrollment ID: I20230719004042 |
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