Individual
MRS. DEMEISHA RICHE LOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-ASS., LCDC
Contact information
Practice address
1520 ALPINE DR, FORT WORTH, TX 76140-4748
(945) 536-8083
Mailing address
PO BOX 146, FORT WORTH, TX 76101-0146
(945) 536-8083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61090592
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
16783
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60918946
WA
101YM0800X
Mental Health Counselor
Primary
101025
TX
Other
Enumeration date
07/21/2020
Last updated
05/08/2026
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