EATING RECOVERY CENTER OF TEXAS, LLC


Address: 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109
Phone: 9724760800

EATING RECOVERY CENTER OF TEXAS, LLC (NPI# 1417446709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417446709
Entity Type Organization
Organization Name EATING RECOVERY CENTER OF TEXAS, LLC
Other Organization Name EATING RECOVERY CENTER OF FORT WORTH
Practice Address 4200 S. Hulen Street
Suite #436
Ft. Worth
TX 76109
Mailing Address Po Box 561485
Denver
CO 80256
Practice Telephone 9724760800
Practice Fax Number 9729850403
Mailing Telephone 9724760800
Mailing Fax Number 9729850403
Enumeration Date 2018-05-02
Last Update Date 2018-05-02
Authorized Official Name CAROL THOMAS (DIRECTOR OF INSURANCE CONTRACTING)
Authorized Official Telephone 3037318846
Is Organization Subpart Y
Parent Organization Name EATING RECOVERY CENTER OF TEXAS LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Eating Recovery Center of Fort Worth Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366080962 Eating Recovery Center of Texas, LLC Clinic/Center 5120 Legacy Dr, Plano, TX 75024 2019-12-13
1326359795 Eating Recovery Center of Texas, LLC Psychiatric Hospital 7515 Main Street, Ste 400, Houston, TX 77030 2010-06-30
1326350513 Eating Recovery Center of Texas, LLC Dietitian, Registered 12221 Renfert Way, Suite #250, Austin, TX 78746 2010-07-05

Office Location

Street Address 4200 S. HULEN STREET
SUITE #436
City FT. WORTH
State TX
Zip Code 76109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881156164 Elizabeth Laborde Dds Pllc Clinic/Center 5656 Edwards Ranch Rd, Fort Worth, TX 76109 2019-04-04
1992273965 Debra Cooper Lantz Occupational Therapist 4252 Bryant Irvin Road, Fort Worth, TX 76109 2018-11-08
1417434119 Dermatology Specialists of Fort Worth Pllc Dermatology 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 2018-07-25
1245751742 Marissa Izabel San Miguel Optometrist 5912 Convair Dr Ste 208, Fort Worth, TX 76109 2017-07-05
1174910111 Parkway Dental Professionals Preferred Provider Organization 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 2015-04-16
1831583095 Deborah K Lehmann, M.d. Clinic/Center 6420 Southwest Blvd., #128, Fort Worth, TX 76109 2015-03-26
1184036428 Ft Worth Ranch Assist, LLC Neurological Surgery 3516 Ranch View Terrace, Fort Worth, TX 76109 2014-05-21
1821435538 Metx LLC Hearing Instrument Specialist 4618 Sw Loop 820, Fort Worth, TX 76109 2013-06-04
1356608087 Virginia Flores Social Worker 4208 Ranier Ct, Fort Worth, TX 76109 2012-04-19
1104109552 Health Imaging Partners, LLC Physiological Laboratory 2911 Oak Park Circle, Fort Worth, TX 76109 2011-09-22
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1912516675 Infinity Therapy LLC Clinic/Center 5510 S Rice Ave Apt 1913, Houston, TX 77081-2156 2020-07-29
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1912524943 New Hope Counseling & Wellness Pllc Clinic/Center 5405 Wellington Dr, Richardson, TX 75082-2702 2020-06-25
1962028050 Mindful Living Center, LLC Clinic/Center 420 Decker Dr, Irving, TX 75062-3952 2020-06-24
1922624410 Against The Grain Counseling Clinic/Center 6700 Menchaca Rd, Austin, TX 78745-5010 2020-06-19
1376169268 Bolin Counseling Services Pllc Clinic/Center 555 Round Rock West Dr Ste E222, Round Rock, TX 78681-5052 2020-06-17
1376168682 Edge of Town Productions, LLC Clinic/Center 746 Dayridge Dr, Dripping Springs, TX 78620-2128 2020-06-11
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Competitor

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City FT. WORTH
Zip Code 76109

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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