Organization
ASIC COUNSELING SERVICES
Active
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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