MEDICARE: HASSELL COUNSELING PLLC

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	:	1407772205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HASSELL COUNSELING PLLC

Provider Business Mailing Address
First Line	:	1300 SUMMIT AVE STE 520
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76102-4419
Country	:	US
Telephone Number	:	737-900-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 TRAIL LAKE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-2030
Country	:	US
Telephone Number	:	737-900-5600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL ISAAC HASSELL
Credential	:	LCSW
Telephone Number	:	737-900-5600

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

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