Organization
POSITIVE INFLUENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIA LYNN ALEXANDER LPC (EXECUTIVE DIRECTOR)
(817) 332-2211
Entity
Organization
Contact information
Practice address
100 E 15TH ST, SUITE 340, FT WORTH, TX 76102-6550
(817) 332-2211
(817) 332-5268
Mailing address
100 E 15TH ST, SUITE 340, FT WORTH, TX 76102-6550
(817) 332-2211
(817) 332-5268
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14591
TX
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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