JEREMY ADAM LELEK PHD
NPI 1780214106
Counselor - Professional in Fort Worth, TX
Active since January 24, 2020
About Jeremy Adam Lelek Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY ADAM LELEK PHD (NPI 1780214106) is an individual professional provider in Fort Worth, Texas, licensed in Texas (18370) and active in the NPI registry since January 2020.
NPPES Registry Identity
NPI1780214106
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEREMY ADAM LELEKCredential: PHD
Location Address2501 PARKVIEW DR STE 220Fort Worth, TX 76102-5824
Mailing AddressPo Box 126558Fort Worth, TX 76126-6558 · (817) 571-4110
Phone(817) 571-4110
Sole ProprietorNo
Enumeration DateJanuary 24, 2020
✔ NPI 1780214106 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 18370
2501 PARKVIEW DR STE 220, Fort Worth, TX 76102
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Health and Wellness Coach
2501 PARKVIEW DR STE 220
FORT WORTH, TX 76102
FORT WORTH, TX 76102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780214106, enumerated as an "individual" on January 24, 2020.
The provider is located at 2501 PARKVIEW DR STE 220 FORT WORTH, TX 76102 and the phone number is (817) 571-4110.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
