Organization
BELLA LIVING PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE LEXOW PSYD (CLINICAL DIRECTOR)
(616) 485-2116
Entity
Organization
Contact information
Practice address
6777 CAMP BOWIE BLVD STE 323, FORT WORTH, TX 76116-7178
(817) 615-9361
Mailing address
3208 EDGEHILL RD, FORT WORTH, TX 76116-4417
(616) 485-2116
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37675
TX
Other
Enumeration date
04/13/2018
Last updated
05/13/2024
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