Provider Demographics
NPI:1528103637
Name:CAROL MAPP AND ASSOCIATES
Entity type:Organization
Organization Name:CAROL MAPP AND ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAPP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:817-483-0020
Mailing Address - Street 1:PO BOX 1036
Mailing Address - Street 2:
Mailing Address - City:KENNEDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76060-1036
Mailing Address - Country:US
Mailing Address - Phone:817-483-0020
Mailing Address - Fax:817-572-6676
Practice Address - Street 1:801 KENNEDALE SUBLETT RD STE A
Practice Address - Street 2:
Practice Address - City:KENNEDALE
Practice Address - State:TX
Practice Address - Zip Code:76060-2801
Practice Address - Country:US
Practice Address - Phone:817-483-0020
Practice Address - Fax:817-572-6676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty