Individual provider · Type 1 NPI

Glynis Park, MS

Counselor · Fort Worth, TX

NPI number 1275016552 Active

Practice location

201 N Rupert St Ste 133
Fort Worth, TX 76107-1465

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1275016552

Glynis Park, MS's National Provider Identifier is 1275016552, issued on Sep 12, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 14, 2026.