Provider Demographics
NPI:1992506729
Name:NEURO-FORGE THERAPY
Entity type:Organization
Organization Name:NEURO-FORGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PREECE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S, LCDC
Authorized Official - Phone:806-676-9315
Mailing Address - Street 1:PO BOX 3742
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79116-3742
Mailing Address - Country:US
Mailing Address - Phone:806-676-9315
Mailing Address - Fax:806-318-3046
Practice Address - Street 1:2417 HOBBS RD STE 102
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1533
Practice Address - Country:US
Practice Address - Phone:806-676-9315
Practice Address - Fax:806-318-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty