Provider Demographics
NPI:1205116407
Name:GAY S KELSO, DBA SOLUTION FOCUSED COUNSELING
Entity type:Organization
Organization Name:GAY S KELSO, DBA SOLUTION FOCUSED COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAY
Authorized Official - Middle Name:S
Authorized Official - Last Name:KELSO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:817-846-8380
Mailing Address - Street 1:7833 OAKMONT BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4231
Mailing Address - Country:US
Mailing Address - Phone:817-665-0583
Mailing Address - Fax:817-370-8977
Practice Address - Street 1:7833 OAKMONT BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4231
Practice Address - Country:US
Practice Address - Phone:817-665-0583
Practice Address - Fax:817-370-8977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX371811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty