| Lokahi Life Center Pllc | |
|
12830 Hillcrest Rd Suite D 235 Dallas TX 75230-1527 | |
| (972) 975-2007 | |
| Not Available |
| Full Name | Lokahi Life Center Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 12830 Hillcrest Rd, Dallas, Texas |
| Authorized Official Name and Position | Kristen Mcfarland (OFFICE MANAGER) |
| Authorized Official Contact | 9729230730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lokahi Life Center Pllc 12830 Hillcrest Rd Suite D 235 Dallas TX 75230-1527 Ph: (972) 975-2007 | Lokahi Life Center Pllc 12830 Hillcrest Rd Suite D 235 Dallas TX 75230-1527 Ph: (972) 975-2007 |
| NPI Number | 1477924629 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Medicare PECOS PAC ID | 9032414735 |
|---|---|
| Medicare Enrollment ID | O20160217001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477924629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 36816 (Texas) | Primary |
| Provider Name | Nicole F Keehn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457767956 PECOS PAC ID: 7719282433 Enrollment ID: I20160218000319 |
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