# COOK CHILDREN'S MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOK CHILDREN'S MEDICAL CENTER
- **Other names:** COOK CHILDREN'S BEHAVIORAL HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942509963
- **Legal business name:** COOK CHILDREN'S MEDICAL CENTER
- **Authorized official:** CORY R RHOADES (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (682) 885-4480

## Contact information

- **Practice address:** 901 7TH AVE STE 2100, FORT WORTH, TX 76104-2722
- **Practice address phone:** (682) 885-1480
- **Practice address fax:** (682) 885-3600
- **Mailing address:** PO BOX 99213, FORT WORTH, TX 76199-0213
- **Mailing address phone:** (682) 885-1860
- **Mailing address fax:** (682) 885-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 03/16/2011
- **Last updated:** 06/05/2023