Provider Demographics
NPI:1427495183
Name:HEKMATYAR, THU (LCSW)
Entity type:Individual
Prefix:MRS
First Name:THU
Middle Name:
Last Name:HEKMATYAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:THU
Other - Middle Name:
Other - Last Name:DO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5928 WESTON DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4544
Mailing Address - Country:US
Mailing Address - Phone:214-336-7903
Mailing Address - Fax:
Practice Address - Street 1:4817 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1886
Practice Address - Country:US
Practice Address - Phone:214-336-7903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX536311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical