Mathews, Marvin S.

Mathews, Marvin S. is an sole proprietor health care provider with primary practice located at 1506 Pennsylvania Ave , Fort Worth TX 76104-2027. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Mathews, Marvin S. can be contacted via phone (877) 521-7927.

Contact Information

Primary practice address
1506 Pennsylvania Ave Fort Worth TX 76104-2027
Phone: (877) 521-7927
Fax: (817) 719-0334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Maryland
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 003490 Texas

Profile Details

NPI number 1619900933
LBN Legal business name Mathews, Marvin S.
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619900933 NPPES
Texas Other 00153B BCBS PROVIDER NUMBER

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