IndividualActive
Anthony Pinckney
NPI 1487514295 · Assisted Living Facility (Mental Illness) · Fort Worth, TX
Provider details
- NPI number
- 1487514295
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001011661 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Respite Care Facility
Practice location
3612 Ada Ave
Fort Worth, TX 76105-3422
Phone: (682) 230-5417
Fax: (817) 547-0023
Approximate (ZIP-level) locationGet directions
Mailing address
3612 Ada Ave
Fort Worth, TX 76105-3422
Registry dates
- Enumerated
- 2025-11-13
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.