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Ana Nicolalde is one of 60 mental health counselors practicing in Fort Worth, Texas .
Ana Nicolalde practices with Logos Services LLC.
Registry record (NPPES)
NPI
1891349080
Type
Type 1 · Individual
Primary taxonomy
Counselor, Mental Health · 101YM0800X
Address on file
3901 Airport Fwy Ste 107 Bedford, TX 76021-6117 (817) 812-2880
Enumerated
Jul 26, 2019
Record last updated
Jul 26, 2019
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXMental Health Counselor
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
5751 Park Vista Cir Suite 101
Fort Worth , TX 76244
(817) 812-2880
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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