Provider Demographics
NPI:1609939610
Name:DENSON, MICHAEL (LCSW, LMFT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:DENSON
Suffix:
Gender:M
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 KINWEST PKWY
Mailing Address - Street 2:107
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3407
Mailing Address - Country:US
Mailing Address - Phone:972-910-8388
Mailing Address - Fax:972-910-8366
Practice Address - Street 1:1075 KINWEST PKWY
Practice Address - Street 2:107
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3407
Practice Address - Country:US
Practice Address - Phone:972-910-8388
Practice Address - Fax:972-910-8366
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX159761041C0700X
TX3108106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist