| Kesha Deshea Thomas Lpc, Pllc | |
|
4683 Betts Drive Suite 403 Grand Prairie TX 75052 | |
| (469) 441-7768 | |
| Not Available |
| Full Name | Kesha Deshea Thomas Lpc, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4683 Betts Drive, Grand Prairie, Texas |
| Authorized Official Name and Position | Kesha Deshea Thomas (LPC-S/OWNER) |
| Authorized Official Contact | 2145433112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kesha Deshea Thomas Lpc, Pllc 930 Wood River Road Dallas TX 75232 Ph: (214) 543-3112 | Kesha Deshea Thomas Lpc, Pllc 4683 Betts Drive Suite 403 Grand Prairie TX 75052 Ph: (469) 441-7768 |
| NPI Number | 1962139980 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Certification Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962139980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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