MEDICARE: DISHEETA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1497595797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISHEETA, LLC

Provider Business Mailing Address
First Line	:	5604 OAK FALLS CIR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-7528
Country	:	US
Telephone Number	:	972-975-8349
Fax Number	:

Provider Business Practice Location Address
First Line	:	8668 JOHN HICKMAN PKWY STE 804
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-9386
Country	:	US
Telephone Number	:	972-975-8349
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. SHWETA GUPTA
Credential	:
Telephone Number	:	979-739-4537

Provider Enumeration Date	:	05/27/2024
Last Update Date	:	09/02/2025

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Directions to “DISHEETA, LLC ” Practice Location

Language	Start Address	Practice Location

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