Organization
ASIC COUNSELING SERVICES
Active
Parent organization
ASIC RECOVERY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASIC RECOVERY SERVICES
Authorized official
THEA PHAM (CEO)
(832) 681-9643
Entity
Organization
Contact information
Practice address
2920 OAK PARK CIR STE 102, FORT WORTH, TX 76109-1853
(817) 616-0504
(817) 616-0758
Mailing address
2920 OAK PARK CIR STE 102, FORT WORTH, TX 76109-1853
(832) 681-9643
(817) 616-0758
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/06/2023
Last updated
06/17/2026
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