Healthcare Provider Details

I. General information

NPI: 1417819723
Provider Name (Legal Business Name): HATLEY INTEGRATED CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 S HAMPTON RD
DESOTO TX
75115-8093
US

IV. Provider business mailing address

1306 MERCURY LN
LANCASTER TX
75134-4172
US

V. Phone/Fax

Practice location:
  • Phone: 214-289-9868
  • Fax: 214-289-9868
Mailing address:
  • Phone: 214-289-9868
  • Fax: 214-289-9868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: DESTINY GUILLORY
Title or Position: BILLING AND COMPLIANCE MANAGER
Credential:
Phone: 214-289-9868