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Organization subpart
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Provider details

NPI number
Authorized official
MRS. BARBARA BERTCH LPC (MANAGER)
(817) 480-4121
Entity
Organization

Contact information

Practice address
2501 PARKVIEW DR, FT WORTH, TX 76102-5824
(817) 480-4121
Mailing address
4121 WHITFIELD AVE, FT WORTH, TX 76109-5432
(817) 480-4121

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
69901
TX

Other

Enumeration date
02/22/2015
Last updated
02/22/2015
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