Healthcare Provider Details

I. General information

NPI: 1972514602
Provider Name (Legal Business Name): KAREN DENISE FLISS LPC., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6945 WESTLAKE AVE
DALLAS TX
75214-3543
US

IV. Provider business mailing address

6945 WESTLAKE AVE
DALLAS TX
75214-3543
US

V. Phone/Fax

Practice location:
  • Phone: 214-321-8910
  • Fax: 214-321-8912
Mailing address:
  • Phone: 214-321-8910
  • Fax: 214-321-8912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1218
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: