| The Parenting Center | |
|
2928 W 5th St Fort Worth TX 76107-2242 | |
| (817) 332-6348 | |
| (817) 332-6489 |
| Full Name | The Parenting Center |
|---|---|
| Speciality | Counselor |
| Location | 2928 W 5th St, Fort Worth, Texas |
| Authorized Official Name and Position | Esther Maldonado (OFFICE MANAGER) |
| Authorized Official Contact | 8176325516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Parenting Center 2928 W 5th St Fort Worth TX 76107-2242 Ph: (817) 332-6348 | The Parenting Center 2928 W 5th St Fort Worth TX 76107-2242 Ph: (817) 332-6348 |
| NPI Number | 1396965042 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 9133033012 |
|---|---|
| Medicare Enrollment ID | O20031114000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396965042 | NPI | - | NPPES |
| 371408101 | Medicaid | TX | |
| 172283702 | Medicaid | TX | |
| 183779103 | Medicaid | TX | |
| 366288401 | Medicaid | TX | |
| 415880003 | Medicaid | TX | |
| 329574301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Janet E Finch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740414432 PECOS PAC ID: 5698906311 Enrollment ID: I20140324000109 |
| Provider Name | Catherine M Sang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255947578 PECOS PAC ID: 0749679322 Enrollment ID: I20211122000009 |
| Provider Name | Traci Baskin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417636242 PECOS PAC ID: 3375987365 Enrollment ID: I20240217000756 |
| Provider Name | Sunday Dieke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346786233 PECOS PAC ID: 9931543972 Enrollment ID: I20240219001527 |
| Provider Name | Carolyn Smythe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710599642 PECOS PAC ID: 0547604456 Enrollment ID: I20240220000631 |
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