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Organization
TERRA THERAPIES, PLLC
Active
Organization
TERRA THERAPIES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY J GUHL LPC (BUSINESS OWNER)
(817) 907-0022
Entity
Organization
Contact information
Practice address
1706 ENDERLY PL, FORT WORTH, TX 76104-4122
(817) 907-0022
(817) 945-1456
Mailing address
4113 MARKS PL, FORT WORTH, TX 76116-7900
(817) 907-0022
(817) 945-1456
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
66955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649515198
INSURANCE PANELS
TX
Enumeration date
06/08/2018
Last updated
06/08/2018
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