Provider Demographics
NPI:1811331200
Name:SINGH, DENESH (MED, LPC-S, LCDC)
Entity type:Individual
Prefix:MR
First Name:DENESH
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MED, LPC-S, LCDC
Other - Prefix:
Other - First Name:DENNY
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:520 HIDDEN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-1228
Mailing Address - Country:US
Mailing Address - Phone:972-591-1762
Mailing Address - Fax:
Practice Address - Street 1:1521 N COOPER ST STE 208
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-5522
Practice Address - Country:US
Practice Address - Phone:972-591-1762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12226101YA0400X
TX61450101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX359647002Medicaid