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NPI Code Detail

MEDICARE: REACH COUNSELING

MEDICARE: REACH COUNSELING
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1063117836
Entity Type Code : Organization
Provider Name (Legal Business Name) : REACH COUNSELING
Provider Business Mailing Address
First Line : 3913 JUSTIN DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-7667
Country : US
Telephone Number : 682-465-3101
Fax Number :
Provider Business Practice Location Address
First Line : 5751 KROGER DR STE 114
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-5633
Country : US
Telephone Number : 682-593-1402
Fax Number : 682-316-9137
Authorized Official
Title or Position : OWNER
Name : CARRIE MANNING
Credential : LPC
Telephone Number : 682-465-3101
Provider Enumeration Date : 04/03/2023
Last Update Date : 07/15/2025

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Directions to “REACH COUNSELING ” Practice Location

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