KELLY CHEATHAM COUNSELING
NPI 1649714585
Counselor - Professional in Southlake, TX

Active since December 12, 2016
1500 CORPORATE CIR, SUITE 4, SOUTHLAKE, TX 76092(817) 228-1668 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Cheatham Counseling NPPES

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

KELLY CHEATHAM COUNSELING (NPI 1649714585) is a healthcare organization registered as a professional in Southlake, Texas and active in the NPI registry since December 2016. The organization lists Kelly Lynn Cheatham, President, as its authorized official.

NPPES Registry Identity

NPI1649714585
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameKELLY CHEATHAM COUNSELING
Location Address1500 CORPORATE CIR, SUITE 4Southlake, TX 76092-5953
Mailing Address910 Hidden Meadow CtSouthlake, TX 76092-8426
Organization SubpartNo
Authorized OfficialKelly Lynn CheathamPresident · (817) 228-1668
Enumeration DateDecember 12, 2016
NPI 1649714585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 65475
1500 CORPORATE CIR, Southlake, TX 76092

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
1500 CORPORATE CIR
SOUTHLAKE, TX 76092
Counselor (Professional)
1500 CORPORATE CIR, SUITES 10 -11
SOUTHLAKE, TX 76092
Counselor (Mental Health)
1500 CORPORATE CIR
SOUTHLAKE, TX 76092

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 Kelly Cheatham Counseling's NPI number?

The NPI number for Kelly Cheatham Counseling is 1649714585. It was assigned to this organization in the NPPES registry on December 12, 2016.

Where is Kelly Cheatham Counseling located?

Kelly Cheatham Counseling is located at 1500 Corporate Cir Suite 4, Southlake, TX 76092. The listed phone number is (817) 228-1668.

What is Kelly Cheatham Counseling's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kelly Cheatham Counseling was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.