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General NPI Number Information
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NPI Number | 1194691899
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Entity Type | Organization
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Legal Business Name | FORT WORTH THERAPY & WELLNESS, PLLC
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Dates
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Enumeration Date | 10/11/2025
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 5308 SLATE ST
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City | FORT WORTH
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State | TX
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Zip | 76114-4360
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Country | US
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Telephone | 817-701-5186
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Fax |
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Provider Business Mailing Address
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Address Line | 5308 SLATE ST
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City | FORT WORTH
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State | TX
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Zip | 76114-4360
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | ERIN AMLIL
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Credential | M.ED, LPC, NCC
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Telephone | 817-701-5186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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