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NPI Code Detail

MEDICARE: REDEMPTION BEHAVIORAL SOLUTIONS COUNSELING

MEDICARE: REDEMPTION BEHAVIORAL SOLUTIONS COUNSELING
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1609753169
Entity Type Code : Organization
Provider Name (Legal Business Name) : REDEMPTION BEHAVIORAL SOLUTIONS COUNSELING
Provider Business Mailing Address
First Line : 1700 AMANDA AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76105-2872
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 AMANDA AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76105-2872
Country : US
Telephone Number : 817-500-2173
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NATHAN KORTU
Credential : LPC
Telephone Number : 817-500-2173
Provider Enumeration Date : 08/18/2025
Last Update Date : 08/18/2025

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Directions to “REDEMPTION BEHAVIORAL SOLUTIONS COUNSELING ” Practice Location

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