| Therapeutically Chosen, Llc | |
|
9500 Ray White Rd Suite 200 Fort Worth TX 76244-9104 | |
| (817) 975-0062 | |
| (469) 443-0461 |
| Full Name | Therapeutically Chosen, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9500 Ray White Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Terah Harrison (OWNER) |
| Authorized Official Contact | 8179750062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutically Chosen, Llc 9500 Ray White Rd Suite 200 Fort Worth TX 76244-9104 Ph: (817) 975-0062 | Therapeutically Chosen, Llc 9500 Ray White Rd Suite 200 Fort Worth TX 76244-9104 Ph: (817) 975-0062 |
| NPI Number | 1275872913 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275872913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 64643 (Texas) | Primary |
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