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Organization
FORT WORTH BRIEF THERAPY CENTER, PLLC
Active
Organization
FORT WORTH BRIEF THERAPY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW A. TRAMMELL LPC-S (CO-OWNER)
(817) 301-6322
Entity
Organization
Contact information
Practice address
3113 S UNIVERSITY DR, STE 201, FT WORTH, TX 76109-5616
(817) 923-1444
(817) 923-1490
Mailing address
800 US HIGHWAY 287, SUITE 1, RHOME, TX 76078-4323
(817) 301-6322
(817) 923-1490
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219912701
—
TX
Enumeration date
01/25/2013
Last updated
01/25/2013
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