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Organization

THE TELOS PROJECT

Active
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Organization

THE TELOS PROJECT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY BEAN PHD (EXECUTIVE DIRECTOR)
(682) 841-1475
Entity
Organization

Contact information

Practice address
7801 OAKMONT BLVD STE 101, FORT WORTH, TX 76132-4242
(682) 841-1475
(682) 708-3775
Mailing address
7801 OAKMONT BLVD STE 101, FORT WORTH, TX 76132-4242
(682) 841-1475
(682) 708-3775

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
367589401
TX
Enumeration date
11/10/2016
Last updated
11/01/2023
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