Healthcare Provider Details

I. General information

NPI: 1538085303
Provider Name (Legal Business Name): LITTY DANIEL PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 STATE HIGHWAY 121 STE 930
FRISCO TX
75035-9347
US

IV. Provider business mailing address

1612 WHIRLAWAY CT
ALLEN TX
75002-2600
US

V. Phone/Fax

Practice location:
  • Phone: 469-200-4093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1233187
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: