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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMIKA D RUSSELL, LPC

Active Sole Proprietor

TAMIKA D RUSSELL, LPC is a Community/Behavioral Health healthcare provider located in DESOTO, Texas. NPI 1427659853 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · DESOTO, TX

Registration Details

NPI Number
1427659853
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2020 (5.8033743780795 yrs)
Last Updated
Feb 18, 2021
Licenses
81523 (TX)
81523 (TX)
Sole Proprietor
Yes

Practice Information

Address
938 MARISA LN
DESOTO, TX, 751153880
Browse TX providers · Browse ZIP 75115
Phone
2147990045
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Community/Behavioral Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.