Provider Demographics
NPI:1932731668
Name:HULETT, DALESHIA LASHA (LCDC)
Entity Type:Individual
Prefix:
First Name:DALESHIA
Middle Name:LASHA
Last Name:HULETT
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 MONTICELLO TER LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1880
Mailing Address - Country:US
Mailing Address - Phone:713-818-5793
Mailing Address - Fax:
Practice Address - Street 1:4215 MONTICELLO TER LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1880
Practice Address - Country:US
Practice Address - Phone:713-818-5793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15220101YA0400X
TX82013101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty