MEDICARE: UNDER THE OAKS COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1154276467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNDER THE OAKS COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	2920 OAK PARK CIR STE 102
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-1853
Country	:	US
Telephone Number	:	682-615-1980
Fax Number	:	682-615-1980

Provider Business Practice Location Address
First Line	:	2920 OAK PARK CIR STE 102
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-1853
Country	:	US
Telephone Number	:	682-615-1980
Fax Number	:	682-615-1980

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	RACHEL ANNE GRIMES
Credential	:	LCSW
Telephone Number	:	682-615-1980

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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