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Organization

360 SUPPORT SOLUTIONS LLC

Active
Other names
RecoverEase Pathways
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANTIONETTE FOSTER LPC (EXECUTIVE DIRECTOR)
(817) 952-6956
Entity
Organization

Contact information

Practice address
601 UNIVERSITY DR STE 112, FORT WORTH, TX 76107-2170
(817) 791-5609
(817) 818-1821
Mailing address
601 UNIVERSITY DR STE 112, FORT WORTH, TX 76107-2170
(817) 952-6956
(817) 818-1821

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
251B00000X
Case Management Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
04/12/2025
Last updated
05/16/2025
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