MEDICARE: PSYCHED HEALTH

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1366301285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHED HEALTH

Provider Business Mailing Address
First Line	:	9313 WOOD DUCK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76118-7785
Country	:	US
Telephone Number	:	817-233-3452
Fax Number	:

Provider Business Practice Location Address
First Line	:	9313 WOOD DUCK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76118-7785
Country	:	US
Telephone Number	:	817-233-3452
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	HEBA ABU-MAIZAR
Credential	:	LCSW-S
Telephone Number	:	817-233-3452

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “PSYCHED HEALTH ” Practice Location

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