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NPI Code Detail

MEDICARE: STEPS WITH HORSES

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
1261QM0801XMental 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

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Directions to “STEPS WITH HORSES ” 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.