Provider Demographics
NPI:1659385029
Name:GARNETT, RICHARD E (PH D)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:E
Last Name:GARNETT
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 AIRPORT FWY
Mailing Address - Street 2:SUITE 216
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76111
Mailing Address - Country:US
Mailing Address - Phone:817-377-2252
Mailing Address - Fax:817-763-5695
Practice Address - Street 1:2707 AIRPORT FWY
Practice Address - Street 2:SUITE 216
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111
Practice Address - Country:US
Practice Address - Phone:817-377-2252
Practice Address - Fax:817-763-5695
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC2035101Y00000X
TXLCDC3248101YA0400X
TXLMFT1197106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist