| Lolabode Counseling Services | |
|
1636 N Hampton Rd Ste 101 Desoto TX 75115-8600 | |
| (972) 920-6781 | |
| Not Available |
| Full Name | Lolabode Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 1636 N Hampton Rd Ste 101, Desoto, Texas |
| Authorized Official Name and Position | Grace Funmilola David (OWNER) |
| Authorized Official Contact | 2109954310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lolabode Counseling Services 1524 Twin Pines Dr Desoto TX 75115-7831 Ph: (972) 920-6781 | Lolabode Counseling Services 1636 N Hampton Rd Ste 101 Desoto TX 75115-8600 Ph: (972) 920-6781 |
| NPI Number | 1306334461 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 04/24/2018 |
| 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 |
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