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NPI Code Detail

MEDICARE: UNBREAKABLE QUEER COUNSELING PLLC

MEDICARE: UNBREAKABLE QUEER 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1518806314
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNBREAKABLE QUEER COUNSELING PLLC
Provider Business Mailing Address
First Line : 1725 E MORNINGSIDE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7126
Country : US
Telephone Number : 817-395-3360
Fax Number :
Provider Business Practice Location Address
First Line : 2421 W 7TH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2305
Country : US
Telephone Number : 817-395-3360
Fax Number :
Authorized Official
Title or Position : OWNER/LEAD THERAPIST
Name : TOMAS ALTAMIRANO III
Credential : LCSW
Telephone Number : 817-395-3360
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “UNBREAKABLE QUEER COUNSELING PLLC ” Practice Location

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