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Theresa Kellam, Ph.d.
Community/Behavioral Health Agency in Fort Worth, Texas
NPI 1205248150

Theresa Kellam, Ph.d. is a Community/Behavioral Health Agency based in Fort Worth, TX. Theresa Kellam, Ph.d. practices in Fort Worth, TX. The NPI Number for Theresa Kellam, Ph.d. is 1205248150 and holds a License No. 32518 (Texas).

The current practice location address for Theresa Kellam, Ph.d. is 2201 Dottie Lynn Pkwy, Fort Worth, TX and can be reached out via phone at 817-313-7899.

Location: 2201 Dottie Lynn Pkwy, Fort Worth, TX, 76120-4432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205248150
Provider Name
Theresa Kellam, Ph.d.
Credential
Provider Entity Type
Organization
Address
2201 Dottie Lynn Pkwy, Fort Worth, TX, 76120-4432
Phone Number
817-313-7899
Fax Number
Provider Enumeration Date
05/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2201 Dottie Lynn Pkwy
City
Fort Worth
State
Texas
Zip
76120-4432
Phone Number
817-313-7899
Fax Number
person
Provider Business Mailing Address Details
Address
2201 Dottie Lynn Pkwy
City
Fort Worth
State
Texas
Zip
76120-4432
Phone Number
817-313-7899
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
32518 (Texas)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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