MEDICARE: COMPLETE CARE AND RECOVERY SERVICES LLC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1962163709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE CARE AND RECOVERY SERVICES LLC

Provider Business Mailing Address
First Line	:	1131 PARKVIEW TRL
Second Line	:
City	:	KENNEDALE
State	:	TX
Zip	:	76060-5841
Country	:	US
Telephone Number	:	817-584-9368
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 GOOD SHEPHERD WAY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76119-4233
Country	:	US
Telephone Number	:	817-480-7599
Fax Number	:

Authorized Official
Title or Position	:	EMPLOYEE
Name	:	JASON KING
Credential	:	LCDC
Telephone Number	:	817-584-9368

Provider Enumeration Date	:	01/04/2022
Last Update Date	:	01/04/2022

Similar Medicare Providers

1366434359 — MR. RICHARD SCOTT MCDONALD DDS
Practice Location Address:

4255 BRYANT IRVIN RD , STE 111
FORT WORTH, TX
76109-4233

Practice Phone: 817-731-9487
Practice Fax: 817-731-2846

1396788899 — MS. NANCY R BOX LCSW
Practice Location Address:

4255 BRYANT IRVIN RD , SUITE 107
FORT WORTH, TX
76109-4233

Practice Phone: 817-602-0554
Practice Fax: 775-459-0849

1730246018 — LUIZ CARLOS TOLEDO M.D.
Practice Location Address:

4255 BRYANT IRVIN RD , SUITE 105
FORT WORTH, TX
76109-4233

Practice Phone: 817-377-0050
Practice Fax: 817-377-0054

1386833523 — MRS. JANICE C FEUERHELM LPC
Practice Location Address:

4255 BRYANT IRVIN RD , SUITE 101
FORT WORTH, TX
76109-4233

Practice Phone: 817-946-5858
Practice Fax:

1386813194 — DME PHARMACY INFUSIONS
Practice Location Address:

4255 BRYANT IRVIN RD , STE 103
FORT WORTH, TX
76109-4233

Practice Phone: 817-569-0015
Practice Fax: 817-370-7475

1336471598 — LAURIE DY'ONA CEDENO D.C.
Practice Location Address:

4255 BRYANT IRVIN RD , STE 108
FORT WORTH, TX
76109-4233

Practice Phone: 817-731-4848
Practice Fax: 817-731-4858

Directions to “COMPLETE CARE AND RECOVERY SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.