M L Gladney

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

M L GLADNEY

Practice address

262 Carroll St # 20
Fort Worth, TX 76107-1907

Phone

(817) 382-7698

NPI assigned

Nov 20, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. M L Gladney Jr., LPC

Title

LPC

Phone

(817) 382-7698

Specialties & licenses 1

Addresses

Other names 1

• M L Gladney Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1770186710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 ASPEN RIDGE DR APT 233",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761087007",
            "telephone_number": "817-724-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CARROLL ST # 20",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071907",
            "telephone_number": "817-382-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M L GLADNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "817-382-7698",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M L Gladney",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.