| Untanglife Counseling Pllc | |
|
6040 Camp Bowie Blvd Fort Worth TX 76116-5612 | |
| (817) 968-1905 | |
| (817) 612-3371 |
| Full Name | Untanglife Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6040 Camp Bowie Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Alison Bailey (OWNER) |
| Authorized Official Contact | 7605766963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Untanglife Counseling Pllc 6040 Camp Bowie Blvd Fort Worth TX 76116-5612 Ph: (817) 968-1905 | Untanglife Counseling Pllc 6040 Camp Bowie Blvd Fort Worth TX 76116-5612 Ph: (817) 968-1905 |
| NPI Number | 1740929058 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740929058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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