Healthcare Provider Details

I. General information

NPI: 1255249728
Provider Name (Legal Business Name): KIARA STREATER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 DARTFORD DR
MESQUITE TX
75181-0034
US

IV. Provider business mailing address

6301 DARTFORD DR
MESQUITE TX
75181-0034
US

V. Phone/Fax

Practice location:
  • Phone: 202-790-8251
  • Fax:
Mailing address:
  • Phone: 202-790-8251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number101789
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: