Provider Demographics
NPI:1558125724
Name:BEST LIFE COUNSELING TX
Entity Type:Organization
Organization Name:BEST LIFE COUNSELING TX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:STRICKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:682-561-4236
Mailing Address - Street 1:2204 PARK PLACE AVE # B
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-1234
Mailing Address - Country:US
Mailing Address - Phone:825-614-2366
Mailing Address - Fax:
Practice Address - Street 1:2204 PARK PLACE AVE # B
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-1234
Practice Address - Country:US
Practice Address - Phone:825-614-2366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)