Individual
MRS. MERRILL L LITTLEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCDC, CCM
Contact information
Practice address
4200 SOUTH FWY, SUITE 424, FORT WORTH, TX 76115-1400
(817) 920-9321
(817) 920-9336
Mailing address
4200 SOUTH FWY STE 424, FORT WORTH, TX 76115-1405
(817) 920-9321
(817) 920-9336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9615
TX
1041C0700X
Clinical Social Worker
28682
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177933201
—
TX
01
—
51MX
BC/BS
TX
01
—
560613
VALUE OPTIONS
TX
01
—
63003
HORIZON HEALTH
TX
Enumeration date
04/19/2006
Last updated
02/24/2026
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