# INTENTIONAL HEARTS COUNSELING AND CONSULTING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720858947
- **Authorized official:** TAMELIA WILLIAMS (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (773) 996-3797

## Contact information

- **Practice address:** 5613 MOUNT STORM WAY, FORT WORTH, TX 76179-4438
- **Practice address phone:** (773) 996-3797
- **Mailing address:** 5613 MOUNT STORM WAY, FORT WORTH, TX 76179-4438
- **Mailing address phone:** (773) 996-3797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 04/02/2025