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Vanzanell Edwards, ADMINISTOR
Adult Mental Health Clinic/Center in Fort Worth, Texas
NPI 1831529080

Vanzanell Edwards is an Adult Mental Health Clinic/Center based in Fort Worth, TX and is specialized in Adult Mental Health. Vanzanell Edwards practices in Fort Worth, TX and has the professional credentials of ADMINISTOR. The NPI Number for Vanzanell Edwards is 1831529080 and holds a License No. 136989 (Texas).

The current practice location address for Vanzanell Edwards is 7801 Marlborough Dr W, Fort Worth, TX and can be reached out via phone at 817-568-1445 and via fax at 817-782-9304.

Location: 7801 Marlborough Dr W, Fort Worth, TX, 76134-4309
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Provider Profile Details
NPI Number
1831529080
Provider Name
Vanzanell Edwards
Credential
ADMINISTOR
Provider Entity Type
Individual
Gender
Female
Address
7801 Marlborough Dr W, Fort Worth, TX, 76134-4309
Phone Number
817-568-1445
Fax Number
817-782-9304
Provider Enumeration Date
11/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75-2645166 05 TX
75-2645166 01 TX ADMINISTOR
institution
Provider Business Practice Location Address Details
Address
7801 Marlborough Dr W
City
State
Zip
76134-4309
Phone Number
817-568-1445
Fax Number
817-782-9304
person
Provider Business Mailing Address Details
Address
7801 Marlborough Dr W
City
State
Zip
76134-4309
Phone Number
817-568-1445
Fax Number
817-782-9304
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
136989 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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