Organization
MY HEALTH MY RESOURCES OF TARRANT COUNTY
Active
Other names
MHMR of Tarrant County
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI CAMPBELL (PROVIDER ENROLLMENT SUPERVISOR)
(817) 569-5322
Entity
Organization
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4395
(817) 569-4517
Mailing address
PO BOX 2603, FORT WORTH, TX 76113-2603
(817) 569-4395
(817) 569-4517
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081599501
—
TX
05
—
135082901
—
TX
05
—
135082902
—
TX
05
—
135082905
—
TX
05
—
135082906
—
TX
05
—
135082907
—
TX
05
—
135082908
—
TX
Enumeration date
05/27/2006
Last updated
08/12/2025
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