Provider Demographics
NPI:1518374107
Name:DLS GROUP LLC
Entity Type:Organization
Organization Name:DLS GROUP LLC
Other - Org Name:DIAGNOSTIC LEARNING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAINES
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, MA, LPC
Authorized Official - Phone:469-222-6712
Mailing Address - Street 1:4011 W PLANO PKWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5629
Mailing Address - Country:US
Mailing Address - Phone:972-612-5615
Mailing Address - Fax:
Practice Address - Street 1:4011 W PLANO PKWY
Practice Address - Street 2:SUITE 104
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5629
Practice Address - Country:US
Practice Address - Phone:972-612-5615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68693101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty