Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY LYNN CHEATHAM, PHD, LPC-S
Active Sole ProprietorDR. KELLY LYNN CHEATHAM, PHD, LPC-S is a Professional Counselor healthcare provider located in SOUTHLAKE, Texas. NPI 1609183094 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · SOUTHLAKE, TX
Registration Details
- NPI Number
- 1609183094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2010 (15.890202025679 yrs)
- Last Updated
- Jan 3, 2025
- License
-
65475 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2535 E SOUTHLAKE BLVD STE 220SOUTHLAKE, TX, 760926629Browse TX providers · Browse ZIP 76092
- Phone
- 8172281668
- Fax
- 4697760669
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in SOUTHLAKE, TX
| Name | Credential | NPI |
|---|---|---|
| DWAYNE COLLINS | MA, LPC | 1407833569 |
| MRS. JAMIE ELLE YOUNG | LPC, RPT | 1578586335 |
| JACQUELINE F KEISH | PH.D | 1134290919 |
| LAURIE J. HOUSE | LPC,LCPC | 1568654416 |
| JENNIFER D ELLIOTT | M.S., L.P.C. | 1265611347 |
| MS. PATRICIA DEANNE BOLLE | M.S., LPC | 1629217120 |
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.