<Unavail>
LBN: Monique K. Braggs
<Unavail> is an health care organization with primary practice located at 4500 Mercantile Plaza Dr Ste 300 , Fort Worth TX 76137-4206. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Monique K. Braggs can be contacted via phone (817) 533-8741, or through Braggs, Monique K. via phone (817) 533-8741.
Contact Information
Primary practice address
4500 Mercantile Plaza Dr Ste 300
Fort Worth TX 76137-4206
Phone: (817) 533-8741
Fax: (817) 945-9252
Website:
Authorized official contact:
Name: Braggs, Monique K. Licensed Professional Counselor (LPC)
Phone: (817) 533-8741
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 73342 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 73342 | Texas |
Profile Details
| NPI number | 1598287955 |
|---|---|
| LBN Legal business name | Monique K. Braggs |
| DBA Doing business as | <Unavail> |
| Authorized official | Braggs, Monique K. Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598287955 | NPPES |
| Texas | MEDICAID | 369798902 |
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