Provider Demographics
NPI:1356024210
Name:ICARELET'STALK, PLLC
Entity type:Organization
Organization Name:ICARELET'STALK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HATTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:972-741-5359
Mailing Address - Street 1:5900 BALCONES DRIVE
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:972-741-5359
Mailing Address - Fax:
Practice Address - Street 1:2218 MARBLE FALLS DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3430
Practice Address - Country:US
Practice Address - Phone:972-741-5359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty