Healthcare Provider Details

I. General information

NPI: 1275458564
Provider Name (Legal Business Name): AMINAH KHAN LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W CAMPBELL RD STE 116
RICHARDSON TX
75080-3512
US

IV. Provider business mailing address

224 W CAMPBELL RD STE 116
RICHARDSON TX
75080-3512
US

V. Phone/Fax

Practice location:
  • Phone: 214-233-6729
  • Fax:
Mailing address:
  • Phone: 214-233-6729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number96609
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: