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NPI Code Detail

MEDICARE: MENTAL HEALTH ASSOCIATION OF TARRANT COUNTY

MEDICARE: MENTAL HEALTH ASSOCIATION OF TARRANT COUNTY
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1952691974
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL HEALTH ASSOCIATION OF TARRANT COUNTY
Provider Business Mailing Address
First Line : 3136 W 4TH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2113
Country : US
Telephone Number : 817-335-5405
Fax Number : 817-334-0025
Provider Business Practice Location Address
First Line : 3136 W 4TH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2113
Country : US
Telephone Number : 817-335-5405
Fax Number : 817-334-0025
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. LEE LEGRICE
Credential : PH.D., LCSW
Telephone Number : 817-335-5405
Provider Enumeration Date : 04/11/2011
Last Update Date : 04/11/2011

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Directions to “MENTAL HEALTH ASSOCIATION OF TARRANT COUNTY ” Practice Location

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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.

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