Organization
HOMESTEAD HOPE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN RICHARD GRAHAM LPC, NCC, BCPCC (OWNER/EXECUTIVE DIRECTOR)
(817) 812-3021
Entity
Organization
Contact information
Practice address
2701 WEST BERRY STREET, SUITE 133, FORT WORTH, TX 76109
(817) 812-3021
(817) 812-3035
Mailing address
2701 WEST BERRY STREET, SUITE 133, FORT WORTH, TX 76109
(817) 812-3021
(817) 812-3035
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
65237
TX
101YP2500X
Professional Counselor
65237
TX
Other
Enumeration date
04/28/2011
Last updated
04/12/2012
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