Organization
METROCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAZANE SHERILYN WALLS LPC, LCDC, ADC-III, (CLINICAL MANAGER III)
(972) 861-5917
Entity
Organization
Contact information
Practice address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(214) 371-0474
(214) 371-3933
Mailing address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(214) 371-0474
(214) 371-3933
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
15910
TX
251S00000X
Community/Behavioral Health Agency
8802
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291080-03
—
TX
Enumeration date
08/03/2012
Last updated
08/03/2012
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