Individual provider · Type 1 NPI

Kelly Lynn Cheatham, PhD, LPC-S

Professional Counselor · Southlake, TX

NPI number 1609183094 Active

Practice location

2535 E Southlake Blvd Ste 220
Southlake, TX 76092-6629

Call (817) 228-1668 Map

Fax (469) 776-0669

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X65475 (TX)

Professional Counselor: Definition to come...

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About NPI 1609183094

Kelly Lynn Cheatham, PhD, LPC-S's National Provider Identifier is 1609183094, issued on Sep 7, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southlake, TX. The record was last updated on Jan 3, 2025.