Fort Worth Brief Therapy Center

NPI 1730215724 - Counselor - 101Y00000X

NPI Details
NPI 1730215724
Enumeration Date 02/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELLIOTT EUGENE ELLIOTT
Position CO-DIRECTOR, ASSOCIATE THERAPIST
Phone (817) 870-1080
Fax (817) 870-1085
Practice Location
1400 S MAIN ST
SUITE 509
FORT WORTH TX, 76104-4909, US
Phone (817) 870-1080
Fax (817) 870-1085
Business Location
1400 S MAIN ST
SUITE 509
FORT WORTH TX, 76104-4909, US
Phone (817) 870-1080
Fax (817) 870-1085
Toxanomy
Taxonomy Code 101Y00000X
License State Texas
License Number 62681
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According to our database, Fort Worth Brief Therapy Center NPI is 1730215724, taxonomy code is 101Y00000X and license number is 62681, license state is located at Texas. Fort Worth Brief Therapy Center physically located at 1400 S Main St, Fort Worth TX, 76104-4909. NPI Number 1033115704 has the healthcare provider type.

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1730215724 NPI number is provided on an as is basis without warranty of any kind. 1730215724 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Worth Brief Therapy Center are for informational purposes only.