Provider Demographics
NPI:1396957585
Name:GUINN HEALTHCARE TECHNOLOGIES, LLC
Entity type:Organization
Organization Name:GUINN HEALTHCARE TECHNOLOGIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL - PRESIDENT GHT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GUINN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC-S
Authorized Official - Phone:817-349-8787
Mailing Address - Street 1:2300 CIRCLE DR
Mailing Address - Street 2:STE 2307
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76119-8134
Mailing Address - Country:US
Mailing Address - Phone:817-349-8787
Mailing Address - Fax:817-231-0650
Practice Address - Street 1:2300 CIRCLE DR
Practice Address - Street 2:STE 2307
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76119-8134
Practice Address - Country:US
Practice Address - Phone:817-349-8787
Practice Address - Fax:817-231-0650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX209881602Medicaid
TX209881601Medicaid