Organization
INTIMACY COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDERICO MENDEZ LMFT (CEO/OWNER)
(817) 631-9991
Entity
Organization
Contact information
Practice address
3900 MERRETT DR STE C, FORT WORTH, TX 76135-2920
(903) 466-2643
Mailing address
4553 GLENVIEW CT, NORTH RICHLAND HILLS, TX 76180-7349
(903) 466-2643
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/10/2023
Last updated
01/23/2024
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