Provider Demographics
NPI:1942926266
Name:BURKS, LARHONDA
Entity Type:Individual
Prefix:MS
First Name:LARHONDA
Middle Name:
Last Name:BURKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 VILLA CREEK DR STE 248
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7342
Mailing Address - Country:US
Mailing Address - Phone:214-377-0216
Mailing Address - Fax:
Practice Address - Street 1:2665 VILLA CREEK DR STE 248
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7342
Practice Address - Country:US
Practice Address - Phone:214-377-0216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health