Individual provider · Type 1 NPI

Kenneth Carlisle

Mental Health Counselor · Fort Worth, TX

NPI number 1306738901 Active

Practice location

5201 Mccart Ave Ste H
Fort Worth, TX 76115-3700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306738901

Kenneth Carlisle's National Provider Identifier is 1306738901, issued on Jul 17, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 17, 2025.