INNER CITY RECOVERY AND BEHAVIORAL HEALTH LLC
NPI 1982367603
Case Management in Fort Worth, TX

Active since October 19, 2021
4817 BRENTWOOD STAIR RD STE 105, FORT WORTH, TX 76103(214) 228-3072 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 28, 2022, Jan 15, 2022, Oct 19, 2021 (3 updates tracked since 2021).

  • Organization
  • Case Management

About INNER CITY RECOVERY AND BEHAVIORAL HEALTH LLC

This page provides the complete NPI Profile along with additional information for Inner City Recovery And Behavioral Health Llc, a provider established in Fort Worth, Texas operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1982367603 assigned on October 2021. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Nicole Washington (Manager)

NPI
1982367603 Verify this NPI
Provider Name
INNER CITY RECOVERY AND BEHAVIORAL HEALTH LLC
Entity Type
Organization
Location Address
4817 BRENTWOOD STAIR RD STE 105 FORT WORTH, TX 76103
Location Phone
(214) 228-3072
Mailing Address
4817 BRENTWOOD STAIR RD STE 105 FORT WORTH, TX 76103
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2021
Last Update Date
11-28-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Management

Taxonomy Code
251B00000X
Type
Agencies
Taxonomy Description
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
3103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
4261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
5261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICOLE WASHINGTON

Authorized Official Title
MANAGER
Authorized Official Phone
(214) 228-3072

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
4817 BRENTWOOD STAIR RD STE 105
FT WORTH, TX 76103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982367603, enumerated as an "organization" on October 19, 2021.

The provider is located at 4817 BRENTWOOD STAIR RD STE 105 FORT WORTH, TX 76103 and the phone number is (214) 228-3072.

Case Management with taxonomy code 251B00000X.