| Teaching Our Youth Excellence | |
|
777 Main St Ste 600 Fort Worth TX 76102-5368 | |
| (682) 438-3346 | |
| Not Available |
| Full Name | Teaching Our Youth Excellence |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 777 Main St Ste 600, Fort Worth, Texas |
| Authorized Official Name and Position | Lakisha Gibson (MENTAL HEALTH SPECIALIST) |
| Authorized Official Contact | 6824383346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teaching Our Youth Excellence 777 Main St Ste 600 Fort Worth TX 76102-5368 Ph: (682) 438-3346 | Teaching Our Youth Excellence 777 Main St Ste 600 Fort Worth TX 76102-5368 Ph: (682) 438-3346 |
| NPI Number | 1427741354 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 06/29/2024 |
| Certification Date | 06/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427741354 | NPI | - | NPPES |
| 1427741354 | Medicaid | TX | |
| 1528741337 | Medicaid | TX | |
| 1922785765 | Medicaid | TX |
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