Deblanc, Larissa

Deblanc, Larissa is an sole proprietor health care provider with primary practice located at 4055 Valley View Ln , Dallas TX 75244-5074. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Deblanc, Larissa can be contacted via phone (972) 715-3800.

Contact Information

Primary practice address
4055 Valley View Ln Dallas TX 75244-5074
Phone: (972) 715-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP133520 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP133520 Texas

Profile Details

NPI number 1083154330
LBN Legal business name Deblanc, Larissa
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2017
Last updated Feb 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083154330 NPPES
Texas MEDICAID 381679501

Popular Providers