Organization
LYNDA CARMOUCHE PSYCHOTHERAPY & TRAINING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA ANN CARMOUCHE LCSW (OWNER/PSYCHOTHERAPIST)
(214) 273-5045
Entity
Organization
Contact information
Practice address
5601 BRIDGE ST, FORT WORTH, TX 76112-2384
(214) 273-5045
(337) 205-0814
Mailing address
PO BOX 613174, DALLAS, TX 75261-3174
(214) 273-5045
(337) 205-0814
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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