Organization
FORT WORTH BRIEF THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIOTT EUGENE CONNIE LPC-I (CO-DIRECTOR, ASSOCIATE THERAPIST)
(817) 870-1080
Entity
Organization
Contact information
Practice address
1400 S MAIN ST, SUITE 509, FORT WORTH, TX 76104-4909
(817) 870-1080
(817) 870-1085
Mailing address
1400 S MAIN ST, SUITE 509, FORT WORTH, TX 76104-4909
(817) 870-1080
(817) 870-1085
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62681
TX
101YM0800X
Mental Health Counselor
62681
TX
101YP2500X
Professional Counselor
62681
TX
Other
Enumeration date
02/26/2007
Last updated
09/11/2025
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