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NPI Code Detail

MEDICARE: KOLBY ACKER LMFT-ASSOCIATE

MEDICARE: KOLBY ACKER LMFT-ASSOCIATE
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
1106H00000XMarriage & Family Therapist204807TX

General Provider Information

NPI Number : 1265219802
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOLBY ACKER LMFT-ASSOCIATE
Provider Business Mailing Address
First Line : 4500 MERCANTILE PLAZA DR STE 307
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4230
Country : US
Telephone Number : 817-232-9400
Fax Number : 817-232-9403
Provider Business Practice Location Address
First Line : 4500 MERCANTILE PLAZA DR STE 307
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4230
Country : US
Telephone Number : 817-232-9400
Fax Number : 817-232-9403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2023
Last Update Date : 09/08/2023

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Directions to “ KOLBY ACKER LMFT-ASSOCIATE” Practice Location

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