OrganizationActive
360 Support Solutions LLC
NPI 1386439016 · Professional Counselor · Fort Worth, TX
Provider details
- NPI number
- 1386439016
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Authorized official
- Antionette Foster, Executive Director
Practice location
601 University Dr Ste 112
Fort Worth, TX 76107-2170
Phone: (817) 791-5609
Fax: (817) 818-1821
Mailing address
601 University Dr Ste 112
Fort Worth, TX 76107-2170
Registry dates
- Enumerated
- 2025-04-12
- Last updated
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.