# INTIMACY COUNSELING & CONSULTING

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

## Provider details

- **NPI number:** 1861170839
- **Authorized official:** FEDERICO MENDEZ LMFT (CEO/OWNER)
- **Authorized official phone:** (817) 631-9991

## Contact information

- **Practice address:** 3900 MERRETT DR STE C, FORT WORTH, TX 76135-2920
- **Practice address phone:** (903) 466-2643
- **Mailing address:** 1424 SUMMIT AVE APT 4072, FORT WORTH, TX 76102-5993
- **Mailing address phone:** (817) 631-3125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 10/09/2026
