| Lifecycles, Pllc | |
|
405 State Highway 121 Byp Ste A250 Lewisville TX 75067-4183 | |
| (214) 872-9004 | |
| Not Available |
| Full Name | Lifecycles, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 405 State Highway 121 Byp Ste A250, Lewisville, Texas |
| Authorized Official Name and Position | Ramona Jean Roston (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2148729004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecycles, Pllc 2600 Lake Ridge Rd Apt 2218 Lewisville TX 75056-4700 Ph: (214) 872-9004 | Lifecycles, Pllc 405 State Highway 121 Byp Ste A250 Lewisville TX 75067-4183 Ph: (214) 872-9004 |
| NPI Number | 1760995062 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 10/18/2019 |
| Medicare PECOS PAC ID | 8224392006 |
|---|---|
| Medicare Enrollment ID | O20180502001327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760995062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 62852 (Texas) | Primary |
| Provider Name | Ramona Roston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487106209 PECOS PAC ID: 4981984317 Enrollment ID: I20161201000376 |
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