Organization
DFW COUNSELING AND PSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA ROSE PSYD (OWNER)
(817) 653-5888
Entity
Organization
Contact information
Practice address
669 AIRPORT FWY, SUITE 302, HURST, TX 76053-3970
(817) 653-5888
Mailing address
669 AIRPORT FREEWAY, SUITE 302, HURST, TX 76053
(817) 653-5888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
36721
TX
102L00000X
Psychoanalyst
36721
TX
103TC0700X
Clinical Psychologist
36721
TX
103TF0000X
Family Psychologist
36721
TX
103TF0200X
Forensic Psychologist
36721
TX
103TP2701X
Group Psychotherapy Psychologist
36721
TX
106H00000X
Marriage & Family Therapist
36721
TX
251S00000X
Community/Behavioral Health Agency
Primary
36721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215468137
—
TX
Enumeration date
11/14/2016
Last updated
05/01/2017
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