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Positive Impact Therapeutic Services
Professional Counselor in Fort Worth, Texas
NPI 1124455571

Positive Impact Therapeutic Services is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Positive Impact Therapeutic Services practices in Fort Worth, TX. The NPI Number for Positive Impact Therapeutic Services is 1124455571 and holds a License No. 19337 (Texas).

The current practice location address for Positive Impact Therapeutic Services is 12650 N Beach St Ste 114, Fort Worth, TX and can be reached out via phone at 832-338-4711.

Location: 12650 N Beach St Ste 114, Fort Worth, TX, 76244-4245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124455571
Provider Name
Positive Impact Therapeutic Services
Credential
Provider Entity Type
Organization
Address
12650 N Beach St Ste 114, Fort Worth, TX, 76244-4245
Phone Number
832-338-4711
Fax Number
Provider Enumeration Date
10/01/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
203432401 05 TX
institution
Provider Business Practice Location Address Details
Address
12650 N Beach St Ste 114
City
Fort Worth
State
Texas
Zip
76244-4245
Phone Number
832-338-4711
Fax Number
person
Provider Business Mailing Address Details
Address
12650 N Beach St Ste 114
City
Fort Worth
State
Texas
Zip
76244-4245
Phone Number
832-338-4711
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
19337 (Texas)
Definition
Definition to come...
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