LISETTE C DOMITEAUX PH. D.
NPI 1265561005
Counselor - Mental Health in Dallas, TX

Active since March 05, 2007
5925 FOREST LANE, SUITE 202, DALLAS, TX 75230(214) 363-0277(214) 352-5388 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisette C Domiteaux Ph. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISETTE C DOMITEAUX PH. D. (NPI 1265561005) is an individual mental health provider in Dallas, Texas, licensed in Texas (8717) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1265561005
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISETTE C DOMITEAUXCredential: PH. D.
Location Address5925 FOREST LANE, SUITE 202Dallas, TX 75230-8805
Mailing Address5925 Forest Lane, Suite 202Dallas, TX 75230-8805 · (214) 363-0277 · Fax (214) 352-5388
Fax(214) 352-5388
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateJanuary 9, 2024
NPI 1265561005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TX · 8717
5925 FOREST LANE, Dallas, TX 75230

Other Identifiers 1

Other752231883TX · Federal Tax Id

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
5925 FOREST LANE, SUITE 219
DALLAS, TX 75230
Chiropractor
5925 FOREST LANE, SUITE 130
DALLAS, TX 75230
Dentist (General Practice)
5925 FOREST LANE, SUITE # 311
DALLAS, TX 75230
Chiropractor
5925 FOREST LANE, SUITE 130
DALLAS, TX 75230
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5925 FOREST LANE, SUITE 417
DALLAS, TX 75230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisette Domiteaux's NPI number?

The NPI number for Lisette Domiteaux is 1265561005. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Lisette Domiteaux located?

Lisette Domiteaux practices at 5925 Forest Lane Suite 202, Dallas, TX 75230. The listed phone number is (214) 363-0277.

What is Lisette Domiteaux's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisette Domiteaux was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.