MEDICARE: MRS. LORRAINE MICHELLE POLLARD LPC, LMFT

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	101YP2500X	Professional Counselor	11232	TX
2	101YP2500X	Professional Counselor	003452-042525	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1851461966	OTHER	TX	NATIONAL PROVIDER NUMBER

General Provider Information

NPI Number	:	1851461966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORRAINE MICHELLE POLLARD LPC, LMFT

Provider Business Mailing Address
First Line	:	320 WESTWAY PL
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5245
Country	:	US
Telephone Number	:	817-516-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 WESTWAY PL
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5245
Country	:	US
Telephone Number	:	817-516-9100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	06/14/2016

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