Provider Demographics
NPI:1699401828
Name:HATCHER, KERI LEE (LAPC)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:LEE
Last Name:HATCHER
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 BENTON DR APT 13212
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-8597
Mailing Address - Country:US
Mailing Address - Phone:702-785-7146
Mailing Address - Fax:
Practice Address - Street 1:205 BENTON DR APT 13212
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-8597
Practice Address - Country:US
Practice Address - Phone:702-785-7146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional