SOBER BY GRACE, INC. (NPI# 1033453170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033453170 |
| Entity Type | Organization |
| Organization Name | SOBER BY GRACE, INC. |
| Practice Address |
2451 Bomar Ave Fort Worth TX 76103-2211 |
| Mailing Address |
1056 Sagewood Ln Saginaw TX 76131-4805 |
| Practice Telephone | 8173867584 |
| Mailing Telephone | 8176069580 |
| Mailing Fax Number | 8178871347 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | MR. BRYCE E HUDNALL (DIRECTOR) |
| Authorized Official Telephone | 8176069580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 67601 | TX | Residential Treatment Facilities |
| Y | 251S00000X | Community/Behavioral Health | 67601 | TX | Agencies |
| Street Address |
2451 BOMAR AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76103-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487170353 | Wafaa Sabrina Chatila | Specialist/Technologist | 1307 W Mitchell St, Arlington, TX 76103 | 2017-08-22 |
| 1598281107 | Daisy Marie Coleman | Licensed Vocational Nurse | 3500 Canyon Ridge Ave, Fort Worth, TX 76103 | 2017-08-15 |
| 1972054724 | Endurance Home Health Care | Home Health | 3605 West Pioneer Parkway, Suite A5-a6, Pantego, TX 76103 | 2016-10-17 |
| 1295011369 | Marvin Eugene Williams | Dentist | 3913 E. Lancaster, Ft. Worth, TX 76103 | 2011-11-02 |
| 1790095347 | Stephanie Ann Adams | Counselor | 2401 Oakland Blvd., Suite 100, Fort Worth, TX 76103 | 2010-10-18 |
| 1376797407 | South Texas Dental Associates, L.p. | Dentist | 4229 East Lancaster Ave., Fort Worth, TX 76103 | 2008-11-17 |
| 1093998429 | Dallas/fort Worth Urology Consultants | Urology | 4809 Brentwood Stair Road, Fort Worth, TX 76103 | 2007-12-07 |
| 1700073434 | Brentwood Stair Chiropractic | Chiropractor | 4809 Brentwood Stair Rd, Fort Worth, TX 76103 | 2007-09-26 |
| 1750430583 | Henry J Bedford | Nurse Anesthetist, Certified Registered | 1807 A W Park Row, Arlington, TX 76103 | 2007-01-10 |
| 1356705131 | Vgr Vision, Inc | Technician/Technologist | 309 S Oakland Blvd, Fort Worth, TX 76103 | 2016-04-07 |
| Find all providers in zip 76103 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559422 | Cmac Counseling, Pllc | Community/Behavioral Health | 2100 N Main St Ste 20b, Fort Worth, TX 76164-8572 | 2020-05-11 |
| 1477191385 | Canary Ridge Counseling Pllc | Community/Behavioral Health | 2501 Parkview Dr Ste 316e, Fort Worth, TX 76102-5824 | 2019-12-11 |
| 1922640010 | Abundant Enteprise LLC | Community/Behavioral Health | 5545 Lawnsberry Dr, Fort Worth, TX 76137-4390 | 2019-10-10 |
| 1790347060 | Serenity Professional Counseling, Pllc | Community/Behavioral Health | 1701 River Run Ste 1020, Fort Worth, TX 76107-6556 | 2019-07-08 |
| 1326512039 | Creative Insight Counseling | Community/Behavioral Health | 3309 Winthrop Ave Ste 76, Fort Worth, TX 76116-5600 | 2019-01-15 |
| 1659882686 | A Beautiful Future, LLC | Community/Behavioral Health | 2721 Bilglade Rd, Fort Worth, TX 76133-1613 | 2017-10-17 |
| 1417480112 | Magrin Gifted Hands Services, LLC | Community/Behavioral Health | 11805 Indian Pony Way, Fort Worth, TX 76244-5298 | 2017-04-10 |
| 1720528524 | Tlc | Community/Behavioral Health | 8425 Hornbeam Dr, Fort Worth, TX 76123-5047 | 2017-02-28 |
| 1306381827 | Irma Mireles | Community/Behavioral Health | 9624 Mariner Cir, Apt 1206, Fort Worth, TX 76179-3210 | 2016-12-20 |
| 1760934145 | Cancer Care Services | Community/Behavioral Health | 623 S Henderson St, Fort Worth, TX 76104-2920 | 2016-11-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.