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Organization
TRI-S COUNSELING & EDUCATION
Active
Organization
TRI-S COUNSELING & EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERRILL L LITTLEBERRY LCSW, LCDC, CCM (C.O.O)
(817) 920-9321
Entity
Organization
Contact information
Practice address
4200 SOUTH FWY, SUITE 424, FORT WORTH, TX 76115-1400
(817) 920-9321
(817) 920-9336
Mailing address
4200 SOUTH FWY, SUITE 424, FORT WORTH, TX 76115-1400
(817) 920-9321
(817) 920-9336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177933201
—
TX
Enumeration date
10/14/2008
Last updated
10/14/2008
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