| Lifetrack Counseling Llc | |
|
904 Granger Dr Allen TX 75013-1102 | |
| (972) 977-0203 | |
| Not Available |
| Full Name | Lifetrack Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 904 Granger Dr, Allen, Texas |
| Authorized Official Name and Position | Daniel Wichman (MEMBER MANAGER) |
| Authorized Official Contact | 9729770203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetrack Counseling Llc 904 Granger Dr Allen TX 75013-1102 Ph: (972) 977-0203 | Lifetrack Counseling Llc 904 Granger Dr Allen TX 75013-1102 Ph: (972) 977-0203 |
| NPI Number | 1548786478 |
|---|---|
| Provider Enumeration Date | 08/22/2017 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548786478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 70313 (Texas) | Primary |
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