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Jeannie Daw, Pllc
Adolescent and Children Mental Health Clinic/Center in Fort Worth, Texas
NPI 1487306742

Jeannie Daw, Pllc is an Adolescent and Children Mental Health Clinic/Center based in Fort Worth, TX and is specialized in Adolescent and Children Mental Health. Jeannie Daw, Pllc practices in Fort Worth, TX. The NPI Number for Jeannie Daw, Pllc is 1487306742 and holds a License No. (Texas).

The current practice location address for Jeannie Daw, Pllc is 6040 Camp Bowie Blvd Ste 56, Fort Worth, TX and can be reached out via phone at 817-841-9406.

Location: 6040 Camp Bowie Blvd Ste 56, Fort Worth, TX, 76116-5601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487306742
Provider Name
Jeannie Daw, Pllc
Credential
Provider Entity Type
Organization
Address
6040 Camp Bowie Blvd Ste 56, Fort Worth, TX, 76116-5601
Phone Number
817-841-9406
Fax Number
Provider Enumeration Date
01/18/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6040 Camp Bowie Blvd Ste 56
City
Fort Worth
State
Texas
Zip
76116-5601
Phone Number
817-841-9406
Fax Number
person
Provider Business Mailing Address Details
Address
6040 Camp Bowie Blvd Ste 56
City
Fort Worth
State
Texas
Zip
76116-5601
Phone Number
817-841-9406
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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