Organization
LOGOS IOP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON TODD BAKER PH.D. (OWNER/CEO)
(817) 812-2880
Entity
Organization
Contact information
Practice address
3910 W INTERSTATE 20 STE 100, ARLINGTON, TX 76017-1430
(817) 812-2880
(817) 812-3096
Mailing address
5751 PARK VISTA CIR STE 101, FORT WORTH, TX 76244-5693
(817) 812-2880
(817) 812-3096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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