Lisethe Salcido, LPC-ASSOCIATE

Individual provider Active NPI Professional Counselor · Northlake, TX

NPI 1043016702 · NPPES record last updated Feb 24, 2025

Key facts

NPI
1043016702
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
97728 (TX)
Practice address
1019 Huckleberry St
Northlake, TX 76226-3238
Phone
(817) 681-1439
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
97728TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 97728 TX Yes

Addresses

Primary practice location

1019 Huckleberry St
Northlake, TX 76226-3238

Mailing address

1019 Huckleberry St
Northlake, TX 76226-3238
Phone (817) 681-1439

Other providers in Northlake, TX

All providers in Northlake, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.