Provider Demographics
NPI:1932580735
Name:GMEINER, JENIFER (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JENIFER
Middle Name:
Last Name:GMEINER
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509B S. UNIVERSITY DR
Mailing Address - Street 2:212
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-9501
Mailing Address - Country:US
Mailing Address - Phone:817-885-7777
Mailing Address - Fax:817-887-1575
Practice Address - Street 1:1509B S. UNIVERSITY DR
Practice Address - Street 2:212
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-9501
Practice Address - Country:US
Practice Address - Phone:817-885-7777
Practice Address - Fax:817-887-1575
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202471106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist