National Provider Identifier Database

SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC
Psychiatric Hospital

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.


Contact Information

SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC
6200 OVERTON RIDGE BLVD
FORT WORTH, TX76132-0000
Phone: 817-361-1991
Fax: 817-361-1993
Website:
Specialty Taxonomy Code
* Psychiatric Hospital 283Q00000X

* Indicates primary specialty

NPI Profile & details for SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC

NPI Number 1447672910
Legal business name
LBN
SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC
Authorized official BARBARA SHOUSE - (DELEGATED/AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 01/17/2014
Last updated 04/08/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 100246

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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