Provider Demographics
NPI:1477724011
Name:CAROL MAPP AND ASSOCIATES
Entity Type:Organization
Organization Name:CAROL MAPP AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE AND FAMILY THERAP
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT,LPC
Authorized Official - Phone:667-682-0903
Mailing Address - Street 1:PO BOX 1036
Mailing Address - Street 2:
Mailing Address - City:KENNEDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76060-1036
Mailing Address - Country:US
Mailing Address - Phone:817-483-0020
Mailing Address - Fax:817-572-6678
Practice Address - Street 1:801 KENNEDALE SUBLETT RD STE A
Practice Address - Street 2:
Practice Address - City:KENNEDALE
Practice Address - State:TX
Practice Address - Zip Code:76060-2801
Practice Address - Country:US
Practice Address - Phone:817-483-0020
Practice Address - Fax:817-572-6676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9973106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty