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Organization
THE OAKS LIFE CENTER, PLLC
Active
Organization
THE OAKS LIFE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE B COSGROVE (CREDENTIALING)
(682) 209-5662
Entity
Organization
Contact information
Practice address
6012 REEF POINT LN, SUITE C, FORT WORTH, TX 76135-7008
(682) 312-8184
(817) 238-1232
Mailing address
6012 REEF POINT LN STE C, FORT WORTH, TX 76135-2056
(682) 312-8184
(817) 238-1232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
33494
TX
Other
Enumeration date
10/20/2015
Last updated
04/04/2019
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