Provider Demographics
NPI:1669086138
Name:KIRIAKI, ROMILYN (LPC)
Entity type:Individual
Prefix:MS
First Name:ROMILYN
Middle Name:
Last Name:KIRIAKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 CARAVAN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5321
Mailing Address - Country:US
Mailing Address - Phone:214-732-8621
Mailing Address - Fax:
Practice Address - Street 1:17330 PRESTON RD STE 110B
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5911
Practice Address - Country:US
Practice Address - Phone:214-396-6526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80937101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional