Individual
KALISA SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10100 N CENTRAL EXPY STE 595, DALLAS, TX 75231-4140
(404) 784-0673
Mailing address
10100 N CENTRAL EXPY STE 595, DALLAS, TX 75231-4140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
03/09/2026
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