Provider Demographics
NPI:1790007037
Name:ARLINGTON CHRISTIAN COUNSELING SERVICES
Entity Type:Organization
Organization Name:ARLINGTON CHRISTIAN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LUCCHESE
Authorized Official - Last Name:MCGEEVER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:817-548-9502
Mailing Address - Street 1:1007 GREENWAY CT
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-2935
Mailing Address - Country:US
Mailing Address - Phone:817-548-9502
Mailing Address - Fax:817-541-4449
Practice Address - Street 1:1007 GREENWAY CT
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-2935
Practice Address - Country:US
Practice Address - Phone:817-548-9502
Practice Address - Fax:817-541-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX039201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty