Charles Community Counseling Center Pllc - Medicare Mental Health Clinic in Lancaster, TX

Charles Community Counseling Center Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Lancaster, Texas. The current practice location for Charles Community Counseling Center Pllc is 1941 Day Break Dr, Lancaster, Texas. For appointments, you can reach them via phone at (469) 243-8879. The mailing address for Charles Community Counseling Center Pllc is Po Box 191591, Dallas, Texas and phone number is (972) 415-5177.

Charles Community Counseling Center Pllc is licensed to practice in Texas (license number 40801). The clinic also participates in the medicare program and its NPI number is 1265937924. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (469) 243-8879.

Contact Information

Charles Community Counseling Center Pllc
1941 Day Break Dr
Lancaster
TX 75146-4949
(469) 243-8879
Not Available

Mental Health Clinic Profile

Full NameCharles Community Counseling Center Pllc
SpecialitySocial Worker
Location1941 Day Break Dr, Lancaster, Texas
Authorized Official Name and PositionLekeesha Lequan Charles (LICENSED CLINICAL SOCIAL WORKER)
Authorized Official Contact9724155177
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Community Counseling Center Pllc
Po Box 191591
Dallas
TX 75219-8502

Ph: (972) 415-5177
Charles Community Counseling Center Pllc
1941 Day Break Dr
Lancaster
TX 75146-4949

Ph: (469) 243-8879

NPI Details:

NPI Number1265937924
Provider Enumeration Date03/26/2018
Last Update Date12/15/2023
Certification Date12/15/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1658626155
Medicare Enrollment IDO20180625003376

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Medical Identifiers

Medical identifiers for Charles Community Counseling Center Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265937924NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 40801 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Charles Community Counseling Center Pllc acts as a billing entity for following providers:
Provider NameLekeesha Lequan Charles
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013412774
PECOS PAC ID: 3476808973
Enrollment ID: I20180625003457

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