Healthcare Provider Details

I. General information

NPI: 1932674132
Provider Name (Legal Business Name): DALLAS THERAPEUTIC SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6303 COMMERCE DR STE 175
IRVING TX
75063-2691
US

IV. Provider business mailing address

6303 COMMERCE DR STE 175
IRVING TX
75063-2691
US

V. Phone/Fax

Practice location:
  • Phone: 214-940-9089
  • Fax: 469-437-8635
Mailing address:
  • Phone: 214-940-9089
  • Fax: 469-437-8635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MIKA CLAIRE SMITH-LOW
Title or Position: CO-OWNER
Credential:
Phone: 903-530-0731