Organization · Type 2 NPI

Eating Recovery Center of Texas

Adult Mental Health Clinic/Center · Fort Worth, TX

NPI number 1417446709 Active

Practice location

4200 S Hulen St Ste 436
Fort Worth, TX 76109-4910

Call (877) 825-8584 Map

Mailing address

7351 E. Lowry Blvd, Ste 200
Denver, CO 80230

Specialties and licenses

Taxonomy	Code	License
Nutritionist	133N00000X	None listed
Nutrition Education Nutritionist	133NN1002X	None listed
Registered Dietitian	133V00000X	None listed
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Neurology Physician	2084N0400X	None listed
General Practice Physician	208D00000X	None listed
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

2 other providers at this address

Other adult mental health clinic/center providers in Fort Worth

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NPI record

NPI: 1417446709
Entity type: Organization (Type 2)
Issued: May 2, 2018
Last updated: Sep 28, 2026
Status: Active
Subpart: Yes of Eating Recovery Center of Texas LLC

Other names

<unavail>
Eating Recovery Center of Ft. Worth · doing business as

Authorized official

Lisa Lam
Manager, Credentialing
(303) 321-0201

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417446709

Eating Recovery Center of Texas's National Provider Identifier is 1417446709, issued on May 2, 2018. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 28, 2026.