| Valhalla Wellness | |
|
8551 Boat Club Rd Fort Worth TX 76179-3638 | |
| (682) 708-3460 | |
| (682) 708-3121 |
| Full Name | Valhalla Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8551 Boat Club Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Teresa Johnson (OWNER/LPC) |
| Authorized Official Contact | 6827083460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valhalla Wellness 8551 Boat Club Rd Fort Worth TX 76179-3638 Ph: (682) 708-3460 | Valhalla Wellness 8551 Boat Club Rd Fort Worth TX 76179-3638 Ph: (682) 708-3460 |
| NPI Number | 1144867821 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 12/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144867821 | NPI | - | NPPES |
| 1194244525 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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