MEDICARE: PATIENCE JACKSON RELAXATION THERAPIST

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106S00000X	Behavior Technician
2	174H00000X	Health Educator
3	221700000X	Art Therapist
4	222Q00000X	Developmental Therapist
5	225600000X	Dance Therapist
6	390200000X	Student in an Organized Health Care Education/Training Program
7	225A00000X	Music Therapist

General Provider Information

NPI Number	:	1679175921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATIENCE JACKSON RELAXATION THERAPIST

Provider Business Mailing Address
First Line	:	600 W 6TH ST FL 4
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76102-3684
Country	:	US
Telephone Number	:	805-221-0208
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 W 6TH ST FL 4
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76102-3684
Country	:	US
Telephone Number	:	805-221-0208
Fax Number	:	469-754-0469

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

Provider Enumeration Date	:	11/11/2020
Last Update Date	:	11/11/2020

Similar Medicare Providers

1497523120 — WHITNEY NICOLE ALLEN LMSW
Practice Location Address:

600 W 6TH ST # 1066
FORT WORTH, TX
76102-3684

Practice Phone: 682-420-4495
Practice Fax:

1174478077 — ANDREW INFINGER, PLLC
Practice Location Address:

600 W 6TH ST STE 422
FORT WORTH, TX
76102-3684

Practice Phone: 817-381-8782
Practice Fax:

1285964908 — TEXAS HOME HEALTH PROVIDER, LLC
Practice Location Address:

600 W 6TH ST STE 475
FORT WORTH, TX
76102-3684

Practice Phone: 214-702-2790
Practice Fax: 415-231-2445

1548740889 — TED ZEBAZE PMHNP-BC , APRN, MSN
Practice Location Address:

600 W 6TH ST
FORT WORTH, TX
76102-3684

Practice Phone: 817-406-2699
Practice Fax: 817-406-2699

1750998571 — AHBRIA CHONTRELLE GIBSON M.S., CCC-SLP
Practice Location Address:

600 W 6TH ST
FORT WORTH, TX
76102-3684

Practice Phone: 682-990-6617
Practice Fax:

1033705132 — CARE HOSPICE LLC
Practice Location Address:

600 W. 6TH STREET , FOURTH FLOOR: EVERYCARE
FORT WORTH, TX
76102-3684

Practice Phone: 214-702-2790
Practice Fax: 415-231-2445

Directions to “ PATIENCE JACKSON RELAXATION THERAPIST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.