Provider Demographics
NPI:1376684126
Name:LIFEWORKS COUNSELING CENTER, PLLC
Entity Type:Organization
Organization Name:LIFEWORKS COUNSELING CENTER, PLLC
Other - Org Name:DEBORAH L.WADE, PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:BEMIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-833-8535
Mailing Address - Street 1:15305 DALLAS PKWY STE 1200
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-6423
Mailing Address - Country:US
Mailing Address - Phone:972-833-8535
Mailing Address - Fax:972-767-0591
Practice Address - Street 1:15305 DALLAS PKWY STE 1200
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-6423
Practice Address - Country:US
Practice Address - Phone:972-833-8535
Practice Address - Fax:972-466-2810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty