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Individual

MR. ANTHONY EUGENE PINCKNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3612 ADA AVE, FORT WORTH, TX 76105-3422
(682) 230-5417
(817) 547-0023
Mailing address
3612 ADA AVE, FORT WORTH, TX 76105-3422
(682) 230-5417
(817) 547-0023

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
106S00000X
Behavior Technician
Primary
TX
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
001011661
TX
311ZA0620X
Adult Care Home Facility
001011661
TX
385H00000X
Respite Care
001011661
TX

Other

Enumeration date
11/13/2025
Last updated
01/23/2026
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