NPI age
17 years
Enumerated 2009-01-08
● Active Type 2 · Organization
Eddie Ellis Junior Hcs
Eddie Ellis Junior Hcs is 1 of 367 residential treatment facility, intellectual and/or developmental disabilities organizations in Texas.
Primary specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ellis
Ceo
Last NPPES update
2009-01-08
Source: monthly bulk 2026-05
How this organization compares
Across 367 active residential treatment facility, intellectual and/or developmental disabilities providers in Texas.
NPI age
17 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
420 Tierney Rd
Fort Worth, TX 761126324
Mailing address
420 Tierney Rd
Fort Worth, TX 761126324
Authorized official
Eddie Ellis
Ceo
📞 8175345480
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Doris Benjamin Psychologist NPI 1376754366
- Eddie Ellis Psychologist NPI 1841400132
Specialties
-
Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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