MEDICARE: NORTHWEST LIFE SKILLS COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	6571	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101YA400X	OTHER	TX	ADDICTION (SUBSTANCE ABUSE DISORDER)

General Provider Information

NPI Number	:	1881944627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST LIFE SKILLS COUNSELING

Provider Business Mailing Address
First Line	:	2636 WALNUT HILL LANE
Second Line	:	SUITE # 330
City	:	DALLAS
State	:	TX
Zip	:	75229
Country	:	US
Telephone Number	:	214-358-6826
Fax Number	:	214-358-6873

Provider Business Practice Location Address
First Line	:	2636 WALNUT HILL LN
Second Line	:	SUITE # 330
City	:	DALLAS
State	:	TX
Zip	:	75229-5639
Country	:	US
Telephone Number	:	214-358-6826
Fax Number	:	214-358-6873

Authorized Official
Title or Position	:	C.E.O.
Name	:	GINA F. VELEZ
Credential	:	LCDC,CPS,IDAC
Telephone Number	:	214-358-6826

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	01/17/2013

Similar Medicare Providers

1275771057 — PROMETHEUS SERVICES
Practice Location Address:

2636 WALNUT HILL LN , SUITE 335
DALLAS, TX
75229-5639

Practice Phone: 214-357-3779
Practice Fax:

1982944252 — LINDA L JONES LPC,LCDC
Practice Location Address:

2636 WALNUT HILL LN , 330
DALLAS, TX
75229-5639

Practice Phone: 214-684-4949
Practice Fax: 817-294-7172

1376720870 — DR. CARLY OVERBY BENDEWALD DC
Practice Location Address:

5639 DYER ST , STE 3
DALLAS, TX
75206-5003

Practice Phone: 214-843-1233
Practice Fax:

1255795233 — JAYE ALEXANDER WESTON
Practice Location Address:

6201 HARRY HINES BLVD
DALLAS, TX
75390-5639

Practice Phone: 214-645-0355
Practice Fax:

1285589713 — BRIAN ZUNIGA
Practice Location Address:

1801 ROYAL LN STE 300
DALLAS, TX
75229-3765

Practice Phone: 888-754-0398
Practice Fax:

1922280221 — CANNULIF HEALTHCARE SERVICES, INC
Practice Location Address:

11526 HARRY HINES BLVD STE 106C
DALLAS, TX
75229-8120

Practice Phone: 214-503-8941
Practice Fax: 214-503-8955

Directions to “NORTHWEST LIFE SKILLS COUNSELING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.