| Charles Community Counseling Center Pllc | |
|
1941 Day Break Dr Lancaster TX 75146-4949 | |
| (469) 243-8879 | |
| Not Available |
| Full Name | Charles Community Counseling Center Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1941 Day Break Dr, Lancaster, Texas |
| Authorized Official Name and Position | Lekeesha Lequan Charles (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9724155177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Community Counseling Center Pllc Po Box 191591 Dallas TX 75219-8502 Ph: (972) 415-5177 | Charles Community Counseling Center Pllc 1941 Day Break Dr Lancaster TX 75146-4949 Ph: (469) 243-8879 |
| NPI Number | 1265937924 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Medicare PECOS PAC ID | 1658626155 |
|---|---|
| Medicare Enrollment ID | O20180625003376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265937924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 40801 (Texas) | Primary |
| Provider Name | Lekeesha Lequan Charles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013412774 PECOS PAC ID: 3476808973 Enrollment ID: I20180625003457 |
Christ Arms Home Health Care Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 W.main Street, B, Lancaster, TX 75146 Phone: 214-315-0130 Fax: 972-224-8317 | |
The Full Fruit Ministries, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Rolling Hills Pl, 1705, Lancaster, TX 75146 Phone: 817-350-1510 | |
Crescent Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W Park Place Dr, Lancaster, TX 75134 Phone: 504-877-2335 | |
Robinson House Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Rogers Ave, Lancaster, TX 75134 Phone: 404-670-0573 | |
Universal Couch Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Francis St, Lancaster, TX 75146 Phone: 214-356-0990 Fax: 972-218-8076 | |
Transitions Of Life Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1315 Vermont Ave, Lancaster, TX 75134 Phone: 682-558-5431 Fax: 214-396-1186 |