Provider Demographics
NPI:1932674132
Name:DALLAS THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:DALLAS THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:ZAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST-INYANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-505-6410
Mailing Address - Street 1:1175 KINWEST PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3409
Mailing Address - Country:US
Mailing Address - Phone:214-940-9089
Mailing Address - Fax:
Practice Address - Street 1:1175 KINWEST PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063
Practice Address - Country:US
Practice Address - Phone:214-505-6410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty