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NPI Code Detail

MEDICARE: LIFECYCLES, PLLC

MEDICARE: LIFECYCLES, PLLC
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
11041C0700XClinical Social Worker62852TX

General Provider Information

NPI Number : 1760995062
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFECYCLES, PLLC
Provider Business Mailing Address
First Line : 2600 LAKE RIDGE RD APT 2218
Second Line :
City : LEWISVILLE
State : TX
Zip : 75056-4700
Country : US
Telephone Number : 214-872-9004
Fax Number :
Provider Business Practice Location Address
First Line : 405 STATE HIGHWAY 121 BYP STE A250
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-4183
Country : US
Telephone Number : 214-872-9004
Fax Number :
Authorized Official
Title or Position : LICENSED CLINICAL SOCIAL WORKER
Name : MRS. RAMONA JEAN ROSTON
Credential : LCSW
Telephone Number : 214-872-9004
Provider Enumeration Date : 11/08/2017
Last Update Date : 09/12/2025

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Directions to “LIFECYCLES, PLLC ” Practice Location

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