MEDICARE: BEST LIFE COUNSELING TX

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	:	1558125724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST LIFE COUNSELING TX

Provider Business Mailing Address
First Line	:	2204 PARK PLACE AVE # B
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-1234
Country	:	US
Telephone Number	:	825-614-2366
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 PARK PLACE AVE # B
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-1234
Country	:	US
Telephone Number	:	825-614-2366
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MISS ELAINE KATHERINE STRICKLIN
Credential	:	LCSW
Telephone Number	:	682-561-4236

Provider Enumeration Date	:	02/08/2024
Last Update Date	:	02/08/2024

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Directions to “BEST LIFE COUNSELING TX ” Practice Location

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