Lifeworks Wellness Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61069 Issued in TX

Legal business name

LIFEWORKS WELLNESS CENTER

Practice address

100 E Jefferson St
Suite 4
Gilmer, TX 75644-2200

Phone

(903) 841-4308

Fax

(903) 841-4308

NPI assigned

Jun 26, 2012

Last updated

Jun 26, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Darrell Richard Smith, M.ED., LPC

Title

Owner

Phone

(903) 841-4308

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1235493065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756440331",
            "telephone_number": "903-841-4308",
            "fax_number": "903-841-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E JEFFERSON ST",
            "address_2": "SUITE 4",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756442200",
            "telephone_number": "903-841-4308",
            "fax_number": "903-841-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-841-4308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kilgore-Gilmer-Eye Care Centers P.a. (Gilmer Eye Care Center)
• Lewis Roy King, MD
• Katherine Allison Laney, APRN, FNP
• Lewis R. King, MD
• Halie Elise Lewis, RN
• Katherine I. Lollar, LCSW
• Longview Wellness Center, Inc. (Wellness Pointe)
• Andrea L Loyd, RN, FNP-BC
• Weston Luke Mayhan
• Adam Oliver McDaniel, DO

• Mental Health Counselor in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.