| Lolabode Counseling Services Llc | |
|
214 South Main Street Suite 208 Duncanville TX 75116 | |
| (214) 580-6059 | |
| Not Available |
| Full Name | Lolabode Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 214 South Main Street, Duncanville, Texas |
| Authorized Official Name and Position | Grace David (ADMINISTRATOR/DIRECTOR) |
| Authorized Official Contact | 2145806059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lolabode Counseling Services Llc 214 South Main Street Suite 208 Duncanville TX 75116 Ph: (214) 580-6059 | Lolabode Counseling Services Llc 214 South Main Street Suite 208 Duncanville TX 75116 Ph: (214) 580-6059 |
| NPI Number | 1306334461 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/21/2025 |
| Medicare PECOS PAC ID | 0143763433 |
|---|---|
| Medicare Enrollment ID | O20240614001297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306334461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 75141 (Texas) | Primary |
| Provider Name | Grace F David |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295240232 PECOS PAC ID: 6305389693 Enrollment ID: I20240614001498 |
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