Burks, Kathey Stack

Burks, Kathey Stack is an sole proprietor health care provider with primary practice located at 9550 Forest Ln. Bldg. 1, Suite 116, Dallas TX 75243-5990. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Burks, Kathey Stack can be contacted via phone (972) 250-1136.

Contact Information

Primary practice address
9550 Forest Ln. Bldg. 1, Suite 116 Dallas TX 75243-5990
Phone: (972) 250-1136
Fax: (972) 661-1762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2825 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 8808 Texas

Profile Details

NPI number 1841234044
LBN Legal business name Burks, Kathey Stack
Credentials LPC, LCDC,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Aug 10th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841234044 NPPES
Texas Other 2702LC PROVIDER # FOR BC/BS

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