Worrell Icfmr

LBN: My Health My Resources Of Tarrant County
Worrell Icfmr is an health care organization with primary practice located at 3840 Hulen St Htn Client Accounting, Fort Worth TX 76107-7277. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. My Health My Resources Of Tarrant County can be contacted via phone (817) 569-4396, or through Montes, Yolanda via phone (817) 569-5235.

Contact Information

Primary practice address
3840 Hulen St Htn Client Accounting Fort Worth TX 76107-7277
Phone: (817) 569-4396
Fax: (817) 569-4517
Website:
Map and Directions
Authorized official contact:
Name: Montes, Yolanda
Phone: (817) 569-5235

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1871707273
LBN Legal business name My Health My Resources Of Tarrant County
DBA Doing business as Worrell Icfmr
Authorized official Montes, Yolanda
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Aug 18th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871707273 NPPES
Texas MEDICAID 000763701

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