Healthcare Provider Details

I. General information

NPI: 1083452064
Provider Name (Legal Business Name): DESIREE APONTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7460 WARREN PKWY
FRISCO TX
75034-4169
US

IV. Provider business mailing address

7460 WARREN PKWY
FRISCO TX
75034-4169
US

V. Phone/Fax

Practice location:
  • Phone: 972-460-6864
  • Fax:
Mailing address:
  • Phone: 972-460-6864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number104099
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: