Krista Kulesza, Ph.D., Llc

LBN: Krista Kulesza, Ph.D., Llc
Krista Kulesza, Ph.D., Llc is an health care organization with primary practice located at 305 Miron Dr , Southlake TX 76092-7831. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Krista Kulesza, Ph.D., Llc can be contacted via phone (682) 554-2946, or through Kulesza, Krista via phone (682) 554-2946.

Contact Information

Primary practice address
305 Miron Dr Southlake TX 76092-7831
Phone: (682) 554-2946
Fax: (866) 573-1719
Website:
Map and Directions
Authorized official contact:
Name: Kulesza, Krista PH.D.
Phone: (682) 554-2946

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 33605 Texas

Profile Details

NPI number 1578982401
LBN Legal business name Krista Kulesza, Ph.D., Llc
DBA Doing business as
Authorized official Kulesza, Krista PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2014
Last updated Apr 8th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578982401 NPPES
Texas MEDICAID 312422401

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