Lawanda Alford, LPC-S
Individual provider Active NPI Counselor · Universal City, TX
NPI 1427481985 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1427481985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 64504 (TX)
- Practice address
- 433 Kitty Hawk Rd Ste 211
Universal City, TX 78148-3829 - Phone
- (210) 371-9708
- NPI assigned
- Aug 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64504 | TX | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 64504 | TX | Yes |
Addresses
Primary practice location
433 Kitty Hawk Rd Ste 211
Universal City, TX 78148-3829
Mailing address
PO Box 1303
Converse, TX 78109-4303
Other providers in Universal City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.