MEDICARE: STEPS WITH HORSES

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1346887411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPS WITH HORSES

Provider Business Mailing Address
First Line	:	PO BOX 123737
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76121-3737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16151 HIGHWAY 377 S
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76126-5544
Country	:	US
Telephone Number	:	682-703-0794
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. HALLIE SHEADE
Credential	:	PHD, LPC-S, RPT-S
Telephone Number	:	682-703-0794

Provider Enumeration Date	:	12/07/2019
Last Update Date	:	01/13/2022

Similar Medicare Providers

1194149336 — DR. HALLIE SHEADE PHD, LPC-S, RPT-S
Practice Location Address:

16151 HIGHWAY 377 S
FORT WORTH, TX
76126-5544

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1740095603 — TRESSA ELIZABETH MARR M.A. , LPC-A
Practice Location Address:

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1073490553 — KARINA MARINO LPC-A
Practice Location Address:

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FORT WORTH, TX
76126-5544

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Practice Fax:

1922734482 — LOTUS SPA & SALON, LLC
Practice Location Address:

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Practice Fax:

1932791753 — MRS. KATHRYN ANNE RAMIREZ LPC-A
Practice Location Address:

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1447259700 — NALINI P REDDY MD
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Directions to “STEPS WITH HORSES ” Practice Location

Language	Start Address	Practice Location

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