Organization
WCHS OF TEXAS
Active
Other names
Hemphill Treatment Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL HERSCHMAN (OTP DIVISION PRESIDENT)
(760) 918-8700
Entity
Organization
Contact information
Practice address
700 HEMPHILL STREET, STE A, FORT WORTH, TX 76104-3105
(918) 334-0111
(817) 334-0249
Mailing address
700 HEMPHILL ST STE A, FORT WORTH, TX 76104-3105
(817) 334-0111
(817) 334-0249
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
0000082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000082
STATE LICENSE NUMBER
TX
Enumeration date
01/31/2007
Last updated
08/22/2020
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