The Parenting Center | |
2928 W 5th St Fort Worth TX 76107-2242 | |
(817) 332-6348 | |
(817) 332-6489 |
Full Name | The Parenting Center |
---|---|
Speciality | Counselor |
Location | 2928 W 5th St, Fort Worth, Texas |
Authorized Official Name and Position | Esther Maldonado (OFFICE MANAGER) |
Authorized Official Contact | 8176325516 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Parenting Center 2928 W 5th St Fort Worth TX 76107-2242 Ph: (817) 332-6348 | The Parenting Center 2928 W 5th St Fort Worth TX 76107-2242 Ph: (817) 332-6348 |
NPI Number | 1396965042 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 10/15/2024 |
Certification Date | 10/15/2024 |
Medicare PECOS PAC ID | 9133033012 |
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Medicare Enrollment ID | O20031114000502 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396965042 | NPI | - | NPPES |
371408101 | Medicaid | TX | |
172283702 | Medicaid | TX | |
183779103 | Medicaid | TX | |
366288401 | Medicaid | TX | |
415880003 | Medicaid | TX | |
329574301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Provider Name | Janet E Finch |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740414432 PECOS PAC ID: 5698906311 Enrollment ID: I20140324000109 |
Provider Name | Catherine M Sang |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255947578 PECOS PAC ID: 0749679322 Enrollment ID: I20211122000009 |
Provider Name | Traci Baskin |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1417636242 PECOS PAC ID: 3375987365 Enrollment ID: I20240217000756 |
Provider Name | Sunday Dieke |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1346786233 PECOS PAC ID: 9931543972 Enrollment ID: I20240219001527 |
Provider Name | Carolyn Smythe |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1710599642 PECOS PAC ID: 0547604456 Enrollment ID: I20240220000631 |
Provider Name | Gerard F Cavanaugh |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508917956 PECOS PAC ID: 1850739194 Enrollment ID: I20240404003142 |
Provider Name | Jessica R Erickson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275061152 PECOS PAC ID: 9638518798 Enrollment ID: I20240422003216 |
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