| Community Counseling Services | |
|
11360 West Lacoma Road Lyford TX 78569 | |
| (956) 343-1439 | |
| (956) 347-3182 |
| Full Name | Community Counseling Services |
|---|---|
| Speciality | Clinic/center |
| Location | 11360 West Lacoma Road, Lyford, Texas |
| Authorized Official Name and Position | Wenda Ann Kolterman (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9563431439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Services 11360 West Lacoma County Road Lyford TX 78569 Ph: (956) 343-1439 | Community Counseling Services 11360 West Lacoma Road Lyford TX 78569 Ph: (956) 343-1439 |
| NPI Number | 1124398896 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124398896 | NPI | - | NPPES |
| 179375401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 19782 (Texas) | Primary |