Provider Demographics
NPI:1275723256
Name:LOIS M. JORDAN DBA SOLUTIONS OUTPATIENT SERVICES
Entity Type:Organization
Organization Name:LOIS M. JORDAN DBA SOLUTIONS OUTPATIENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCDC
Authorized Official - Phone:214-369-1155
Mailing Address - Street 1:5327 N. CENTRAL EXPRESSWAY
Mailing Address - Street 2:SUITE 333
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205
Mailing Address - Country:US
Mailing Address - Phone:214-369-1155
Mailing Address - Fax:214-369-1710
Practice Address - Street 1:5327 N. CENTRAL EXPRESSWAY
Practice Address - Street 2:SUITE 333
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205
Practice Address - Country:US
Practice Address - Phone:214-369-1155
Practice Address - Fax:214-369-1710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX882-A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health