JEREMY ADAM LELEK


Address: 2501 Parkview Dr Ste 220, Fort Worth, TX 76102-5824
Phone: 8175714110

JEREMY ADAM LELEK (NPI# 1780214106) 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) 1780214106
Entity Type Individual
Full Name JEREMY ADAM LELEK
Credential PHD
Practice Address 2501 Parkview Dr Ste 220
Fort Worth
TX 76102-5824
Mailing Address Po Box 126558
Fort Worth
TX 76126-6558
Practice Telephone 8175714110
Mailing Telephone 8175714110
Enumeration Date 2020-01-24
Last Update Date 2020-01-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
18370 TX Behavioral Health & Social Service Providers

Office Location

Street Address 2501 PARKVIEW DR STE 220
City FORT WORTH
State TX
Zip Code 76102-5824

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003428780 Cynthia Frazier Counselor 2612 Dahlia Dr, Fort Worth, TX 76123-1252 2020-08-23
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1477163103 Adriana E Speiker Counselor 3509 Hulen St Ste 251, Fort Worth, TX 76107-6867 2020-08-07
1285252031 Kiersta Lane Garcia Counselor 1810 8th Ave Ste B204, Fort Worth, TX 76110-1352 2020-07-08
1588290571 Heather Penry Counselor 1024 Marlow Ln, Fort Worth, TX 76131-5375 2020-03-21
1992339105 Azmeh Amer Counselor 172 Saint Donovan St, Fort Worth, TX 76107-1252 2020-02-26
1588297121 Surnedra C Simmons Counselor 4941 Sunset Ridge Dr, Fort Worth, TX 76123-4615 2020-02-21
1821629957 Turquoise Banks Counselor 5821 Wedgwood Dr, Fort Worth, TX 76133-2726 2020-01-28
1003447236 Nicole Leona Sallee Counselor 201 Main St Fl 6, Fort Worth, TX 76102-3105 2020-01-27
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Competitor

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City FORT WORTH
Zip Code 76102

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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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