Positive Impact Therapeutic Services
Counselor, Professional in Fort Worth, TX. Organization (NPI-2).
NPI number1124455571
StatusActive
Last updated in NPPESOct 1, 2013
Details
- NPI
- 1124455571
- Entity type
- Organization (NPI-2)
- Legal business name
- Positive Impact Therapeutic Services
- Organization subpart
- No
- Enumeration date
- Oct 1, 2013
- Last updated
- Oct 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 19337 | TX | Yes |
Practice location
12650 N Beach St Ste 114Fort Worth, TX 76244-4245
Phone 832-338-4711
Mailing address
12650 N Beach St Ste 114Fort Worth, TX 76244-4245
Authorized official
Marnee Crutchfield
Administrator
8323384711
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