Provider Demographics
NPI:1598306086
Name:MEKDAD, LENA (MS, NCC, LPC-INTERN)
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:
Last Name:MEKDAD
Suffix:
Gender:F
Credentials:MS, NCC, LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11344 ASHLEY LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0401
Mailing Address - Country:US
Mailing Address - Phone:501-508-9028
Mailing Address - Fax:
Practice Address - Street 1:8380 WARREN PKWY STE 602
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4253
Practice Address - Country:US
Practice Address - Phone:469-200-4093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-05
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82186101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health