MEDICARE: RESILIENT RELATIONSHIPS THERAPY

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1881536894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT RELATIONSHIPS THERAPY

Provider Business Mailing Address
First Line	:	9725 PARKMERE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76108-3865
Country	:	US
Telephone Number	:	931-210-9662
Fax Number	:	931-210-9662

Provider Business Practice Location Address
First Line	:	9725 PARKMERE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76108-3865
Country	:	US
Telephone Number	:	931-210-9662
Fax Number	:	931-210-9662

Authorized Official
Title or Position	:	LMFT
Name	:	GRETCHEN ANNE DAVIS
Credential	:	MS
Telephone Number	:	931-210-9662

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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