| Lifeworks Counseling Center Pllc | |
|
15305 Dallas Pkwy Ste 1200 Addison TX 75001-6423 | |
| (972) 833-8535 | |
| (972) 466-2810 |
| Full Name | Lifeworks Counseling Center Pllc |
|---|---|
| Speciality | Counselor |
| Location | 15305 Dallas Pkwy Ste 1200, Addison, Texas |
| Authorized Official Name and Position | Kathleen Bemis (PRACTICE MGR) |
| Authorized Official Contact | 9728338535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks Counseling Center Pllc 15305 Dallas Pkwy Ste 1200 Addison TX 75001-6423 Ph: (972) 833-8535 | Lifeworks Counseling Center Pllc 15305 Dallas Pkwy Ste 1200 Addison TX 75001-6423 Ph: (972) 833-8535 |
| NPI Number | 1376684126 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 04/04/2025 |
| Certification Date | 04/04/2025 |
| Medicare PECOS PAC ID | 4789100603 |
|---|---|
| Medicare Enrollment ID | O20250423003724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376684126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Elaine J Duvall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962844589 PECOS PAC ID: 0042445744 Enrollment ID: I20131106000066 |
| Provider Name | Carolyn Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871801753 PECOS PAC ID: 7517482649 Enrollment ID: I20250421003036 |
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