OrganizationActive
22kill
NPI 1811524085 · Mental Health Counselor · Fort Worth, TX
Provider details
- NPI number
- 1811524085
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tempa Sherrill, Coo(817) 734-4854
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
855 Texas St Ste 105
Fort Worth, TX 76102-4574
Phone: (682) 990-6242
Approximate (ZIP-level) locationGet directions
Mailing address
855 Texas St
Fort Worth, TX 76102-4572
Additional practice locations (1)
- 13625 Neutron RdDallas, TX 75244-4411Phone: (214) 462-7229
Registry dates
- Enumerated
- 2020-03-26
- Last updated
- 2020-03-26
- Certified
- 2020-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.