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Organization
PROGRESSIVE COUNSELING SERVICES
Active
Organization
PROGRESSIVE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA L LEWIS LPC (CLINICAL DIRECTOR)
(806) 337-2227
Entity
Organization
Contact information
Practice address
5820 34TH ST APT 271, LUBBOCK, TX 79407-3352
(806) 337-2227
Mailing address
5820 34TH ST APT 271, LUBBOCK, TX 79407-3352
(806) 337-2227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326365040
—
OK
Enumeration date
05/13/2019
Last updated
05/13/2019
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