Mrs. Kathy Lightsey
Kathy Renee Lightsey · Counselor (Addiction (Substance Use Disorder))

Address: 1836 Berwick Ave, Dall, TX 75203
Phone: 4692030404

Mrs. Kathy Lightsey (NPI# 1659727030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1659727030
Entity Type Individual
Full Name Mrs. Kathy Lightsey
Other Name Kathy Renee Lightsey
Credential LCDC
Gender Female
Practice Address 1836 Berwick Ave
TX 75203
Practice Telephone 4692030404
Mailing Address 1836 Berwick Ave
TX 75203-4304
Mailing Telephone 4692030404
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2016-05-04
Last Update Date 2016-05-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YA0400X Counselor · Addiction (Substance Use Disorder) Behavioral Health & Social Service Providers 13277 TX

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Office Location

Street Address 1836 BERWICK AVE
State TX
Zip Code 75203

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386264125 Dylan Lopez Internal Medicine Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 2020-04-22
1902303183 Sarah Mcferon Nurse Practitioner 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 2018-04-12
1659712453 Maura M Mcglynn Occupational Therapist 1520 North Beckley Ave 1033, Dallas, TX 75203 2013-07-10
1093153454 Adrienne Workman Internal Medicine 1441 North Beckley Avenue, Dallas, TX 75203 2013-06-07
1851642490 April Rebecca Meras Nurse Practitioner 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 2012-09-22
1699081612 East Run Management, Ltd. Company Assisted Living Facility 2653 Cedar Crest Blvd, Dallas, TX 75203 2010-08-27
1538471305 Preetivi Ellis Internal Medicine 1441 N Beckley Ave Fl 4, Dallas, TX 75203 2010-07-09
1306085378 Maggie Fardella Counselor 201 E 9th St, Dallas, TX 75203 2009-02-13
1811159122 Maryam Raza Md Pa Internal Medicine 1441 N. Beckley, Dallas, TX 75203 2008-06-27
1093974503 Kenneth Carter Raney Internal Medicine 1441 N Beckley Avenue, Dept of Medical Education, Dallas, TX 75203 2008-06-09
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Zip Code 75203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.