Provider Demographics
NPI:1376787093
Name:PROJECT-44
Entity Type:Organization
Organization Name:PROJECT-44
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGRET
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:817-313-6916
Mailing Address - Street 1:2416 W BERRY ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-2818
Mailing Address - Country:US
Mailing Address - Phone:817-313-6916
Mailing Address - Fax:
Practice Address - Street 1:2416 W BERRY ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-2818
Practice Address - Country:US
Practice Address - Phone:817-313-6916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health