Provider Demographics
NPI:1225723117
Name:WHITFIELD, DAI'KEVIA SHANPELLE (LPC)
Entity Type:Individual
Prefix:
First Name:DAI'KEVIA
Middle Name:SHANPELLE
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 S FORUM DR APT 6302
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-1291
Mailing Address - Country:US
Mailing Address - Phone:214-734-0871
Mailing Address - Fax:
Practice Address - Street 1:1661 S FORUM DR APT 6302
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-1291
Practice Address - Country:US
Practice Address - Phone:214-734-0871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85750101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional