Provider Demographics
NPI:1528386216
Name:LAHUE, JOYCE M (LCSW)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:M
Last Name:LAHUE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 S HULEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-3429
Mailing Address - Country:US
Mailing Address - Phone:817-294-4548
Mailing Address - Fax:817-569-4233
Practice Address - Street 1:6300 S HULEN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-3429
Practice Address - Country:US
Practice Address - Phone:817-294-4548
Practice Address - Fax:817-569-4233
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX370211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical