Jim Byron Roaten is a Counselor in Ft Worth, Texas. Jim Byron Roaten practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jim Byron Roaten is 1861521494. The last update date is 2019-07-23.
Jim Byron Roaten's current location address is 5608 Malvey Ave Ste 101, Ft Worth, Texas. You can contact this provider via phone number 8177373989 and fax number 8177375757. The mailing address for Jim Byron Roaten is 5608 Malvey Ave Ste 101, Ft Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim Byron Roaten |
|---|---|
| Address | 5608 Malvey Ave Ste 101, Ft Worth, Texas |
| Phone Number | 8177373989 |
| Fax Number | 8177375757 |
| Sole Proprietor | Y |
| Credentials | MED LPC |
NPI Number Detail
| NPI Number | 1861521494 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2019-07-23 |
Provider Mailing Address Detail
| Address | 5608 Malvey Ave Ste 101 |
|---|---|
| City | Ft Worth |
| State | Texas (TX) |
| Post Code | 761075107 |
| Phone Number | 8177373989 |
| Fax Number | 8177375757 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 2996 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2996 | TX | LPC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jim Byron Roaten?
The Jim Byron Roaten has been issued the NPI (National Provider Identifier) 1861521494 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jim Byron Roaten?
The Jim Byron Roaten is situated at 5608 Malvey Ave Ste 101, in the city of Ft Worth, state of TX, with the zip code 761075107.
What is Jim Byron Roaten's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jim Byron Roaten is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861521494 to Jim Byron Roaten?
The Jim Byron Roaten received its 1861521494 assignment from the Centers for Medicare & Medicaid Services on 2007-03-02.
When was the information regarding Jim Byron Roaten, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jim Byron Roaten, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-07-23.