Mary Elouise Graves in Fort Worth - Marriage & Family Therapist
Mary Elouise Graves - NPI 1205941598
Mary Elouise Graves is a Marriage & Family Therapist in Fort Worth, Texas. Mary Elouise Graves practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Mary Elouise Graves is 1205941598. The last update date is 2007-07-08.
Mary Elouise Graves's current location address is 2701 Burchill Rd N, Fort Worth, Texas. You can contact this provider via phone number 8175340814 and fax number 8175361556. The mailing address for Mary Elouise Graves is 2701 Burchill Rd N, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Elouise Graves |
|---|---|
| Address | 2701 Burchill Rd N, Fort Worth, Texas |
| Phone Number | 8175340814 |
| Fax Number | 8175361556 |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1205941598 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2701 Burchill Rd N |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761053012 |
| Phone Number | 8175340814 |
| Fax Number | 8175361556 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 4748 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique provider identifier assigned to Mary Elouise Graves?
The Mary Elouise Graves has been issued the NPI (National Provider Identifier) 1205941598 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mary Elouise Graves's physical address?
The Mary Elouise Graves is physically located at 2701 Burchill Rd N, in the city of Fort Worth, TX, with the postal code 761053012.
What is Mary Elouise Graves's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Elouise Graves is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205941598 to Mary Elouise Graves?
The Mary Elouise Graves received its 1205941598 assignment from the Centers for Medicare & Medicaid Services on 2006-08-20.
When was the information pertaining to Mary Elouise Graves most recently updated or revised?
The details related to Mary Elouise Graves, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.