Walls, Lazane Sherilyn

Walls, Lazane Sherilyn is an sole proprietor health care provider with primary practice located at 3330 S Lancaster Rd , Dallas TX 75216-4531. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Walls, Lazane Sherilyn can be contacted via phone (214) 371-6639.

Contact Information

Primary practice address
3330 S Lancaster Rd Dallas TX 75216-4531
Phone: (214) 371-6639
Fax: (214) 372-6199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 8802 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 15910 Texas

Profile Details

NPI number 1386830255
LBN Legal business name Walls, Lazane Sherilyn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2007
Last updated Jul 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386830255 NPPES
Texas MEDICAID 1386830255

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