MEDICARE: CHRISTOPHER SCOTT TIMMS LPC-ASSOCAITE

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	101Y00000X	Counselor	94769	TX

General Provider Information

NPI Number	:	1225983273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SCOTT TIMMS LPC-ASSOCAITE

Provider Business Mailing Address
First Line	:	9025 BELVEDERE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-6239
Country	:	US
Telephone Number	:	817-368-4148
Fax Number	:

Provider Business Practice Location Address
First Line	:	9025 BELVEDERE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-6239
Country	:	US
Telephone Number	:	817-368-4148
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

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

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