| Lahue Counseling Services | |
|
3001 W 5th St Ste 100 Fort Worth TX 76107-8901 | |
| (682) 472-7771 | |
| (682) 205-2971 |
| Full Name | Lahue Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 3001 W 5th St Ste 100, Fort Worth, Texas |
| Authorized Official Name and Position | Robert Morgan Peacock (OWNER) |
| Authorized Official Contact | 6824727771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lahue Counseling Services 5601 Texas St Joshua TX 76058-4097 Ph: (682) 472-7771 | Lahue Counseling Services 3001 W 5th St Ste 100 Fort Worth TX 76107-8901 Ph: (682) 472-7771 |
| NPI Number | 1902310170 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 03/27/2018 |
| Medicare PECOS PAC ID | 4688935646 |
|---|---|
| Medicare Enrollment ID | O20180308000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902310170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julia Tillie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720028590 PECOS PAC ID: 7315940319 Enrollment ID: I20060811000364 |
| Provider Name | Robert Morgan Peacock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750823092 PECOS PAC ID: 6709167331 Enrollment ID: I20161220000040 |
| Provider Name | Joyce M Lahue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528386216 PECOS PAC ID: 5597026559 Enrollment ID: I20180308000738 |
| Provider Name | Rachel Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487103347 PECOS PAC ID: 5698013415 Enrollment ID: I20190220001720 |
| Provider Name | Oludayo Jolayemi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487291910 PECOS PAC ID: 4082041371 Enrollment ID: I20200226001887 |
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