Provider Demographics
NPI:1700927233
Name:DELESKI, ELYSE J (LMFT)
Entity Type:Individual
Prefix:DR
First Name:ELYSE
Middle Name:J
Last Name:DELESKI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9555 LEBANON RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6080
Mailing Address - Country:US
Mailing Address - Phone:469-362-8004
Mailing Address - Fax:469-362-8515
Practice Address - Street 1:9555 LEBANON RD
Practice Address - Street 2:SUITE 301
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6080
Practice Address - Country:US
Practice Address - Phone:469-362-8004
Practice Address - Fax:469-362-8515
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5107106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist