NPI 1386439016 · live from the CMS NPI Registry
360 Support Solutions LLC
Counselor, Professional in Fort Worth, TX. National Provider Identifier 1386439016, active.
NPI record
| NPI | 1386439016 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 601 University Dr Ste 112, Fort Worth, TX 76107 |
| Practice phone | 817-791-5609 |
| Enumerated | April 12, 2025 |
| Last updated | May 16, 2025 |
| Authorized official | Antionette Foster, Executive Director |
| Other names | Recoverease Pathways |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management | 251B00000X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — |
| Counselor, Professional primary | 101YP2500X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.