MEDICARE: DR. RICHARD E GARNETT PH D

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	101Y00000X	Counselor	LPC2035	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCDC3248	TX
3	106H00000X	Marriage & Family Therapist	LMFT1197	TX

General Provider Information

NPI Number	:	1659385029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD E GARNETT PH D

Provider Business Mailing Address
First Line	:	2707 AIRPORT FWY
Second Line	:	SUITE 216
City	:	FT WORTH
State	:	TX
Zip	:	76111
Country	:	US
Telephone Number	:	817-377-2252
Fax Number	:	817-763-5695

Provider Business Practice Location Address
First Line	:	2707 AIRPORT FWY
Second Line	:	SUITE 216
City	:	FT WORTH
State	:	TX
Zip	:	76111
Country	:	US
Telephone Number	:	817-377-2252
Fax Number	:	817-763-5695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	09/11/2025

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