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Organization
OPTIMAL THERAPEUTIC SERVICES, PLLC
Active
Organization
OPTIMAL THERAPEUTIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARNEE CRUTCHFIELD (ADMINISTRATOR)
(832) 338-4711
Entity
Organization
Contact information
Practice address
4425 W AIRPORT FWY STE 122, IRVING, TX 75062-5817
(817) 409-4640
Mailing address
12650 N. BEACH STREET, SUITE 114, #204, FORT WORTH, TX 76244
(832) 338-4711
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235322801
—
TX
Enumeration date
02/24/2020
Last updated
02/26/2020
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