Individual
MRS. HEATHER LEA ELLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10300 N CENTRAL EXPY, SUITE 110, DALLAS, TX 75231-8600
(214) 489-7774
Mailing address
8855 LARCHWOOD DR, DALLAS, TX 75238-3629
(214) 883-5476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
67501
TX
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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