MEDICARE: MRS. JENIFER GMEINER M.S., LMFT

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	202471	TX

General Provider Information

NPI Number	:	1932580735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENIFER GMEINER M.S., LMFT

Provider Business Mailing Address
First Line	:	1509B S. UNIVERSITY DR
Second Line	:	212
City	:	FORT WORTH
State	:	TX
Zip	:	76107-9501
Country	:	US
Telephone Number	:	817-885-7777
Fax Number	:	817-887-1575

Provider Business Practice Location Address
First Line	:	1509B S. UNIVERSITY DR
Second Line	:	212
City	:	FORT WORTH
State	:	TX
Zip	:	76107-9501
Country	:	US
Telephone Number	:	817-885-7777
Fax Number	:	817-887-1575

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

Provider Enumeration Date	:	06/17/2015
Last Update Date	:	04/23/2024

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