Blackbird Behavioral Health PLLC
Organization Active NPI Clinical Social Worker · Azle, TX
NPI 1003578329 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1003578329
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BLACKBIRD BEHAVIORAL HEALTH PLLC
- Practice address
- 620 Clearbrook St
Azle, TX 76020-3076 - Phone
- (817) 304-6748
- NPI assigned
- Oct 13, 2021
- Organization subpart
- No
Authorized official
- Name
- Mary Schaaf, LCSW
- Title
- Owner/Operator
- Phone
- (817) 304-6748
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
620 Clearbrook St
Azle, TX 76020-3076
Mailing address
620 Clearbrook St
Azle, TX 76020-3076
Phone (817) 304-6748
Other providers in Azle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.