Provider Demographics
NPI:1548477581
Name:MACLIN, TONY ALLEN (LPC)
Entity type:Individual
Prefix:MR
First Name:TONY
Middle Name:ALLEN
Last Name:MACLIN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2300 CIRCLE DRIVE
Mailing Address - Street 2:SUITE 2307
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76119-8134
Mailing Address - Country:US
Mailing Address - Phone:817-349-8787
Mailing Address - Fax:817-231-0650
Practice Address - Street 1:2300 CIRCLE DR
Practice Address - Street 2:SUITE 2307
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76119-8134
Practice Address - Country:US
Practice Address - Phone:817-349-8787
Practice Address - Fax:817-231-0650
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60834101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health