Life Skills Counseling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13939 Issued in TX

Legal business name

LIFE SKILLS COUNSELING CENTER

Practice address

700 E Southlake Blvd
Suite 190
Southlake, TX 76092-6353

Phone

(817) 416-2344

Fax

(817) 483-1198

NPI assigned

Oct 10, 2011

Last updated

Oct 10, 2011By 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

Dr. Adam D Coffey, PH.D.NPI 1467581793

Title

Owner

Phone

(214) 535-6369

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Daniel Coffey, PH.D.

  • Professional Counselor
  • Dallas, TX
  • NPI 1467581793
  Authorized official Same address or phone

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1295019131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 SARATOGA LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171863",
            "telephone_number": "214-535-6369",
            "fax_number": "817-483-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E SOUTHLAKE BLVD",
            "address_2": "SUITE 190",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926353",
            "telephone_number": "817-416-2344",
            "fax_number": "817-483-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-535-6369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Leslie
• Annette Lettiere, PT
• David R Levitan, M.D.
• Aisha Lewis
• Loree J Lieving, M.D.
• Ruei an Lin
• Gail Therese Lindley, CCC/SLP
• Brittany Lindsey, DPT
• Jeffrey Joseph Link, M.D.
• Lionrock Behavioral Health, Inc (Lionrock Recovery)

• Professional Counselor in Southlake, TX
• Providers in Southlake, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.