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LCDC
NPI 1750046074
Counselor - Addiction (Substance Use Disorder) in Desoto, TX

Active since November 02, 2021
132 HILLSIDE LN, DESOTO, TX 75115(469) 321-1346 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2021, Nov 2, 2021 (2 updates tracked since 2021).

About Lcdc NPPES

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

LCDC (NPI 1750046074) is a healthcare organization registered as an addiction (substance use disorder) in Desoto, Texas and active in the NPI registry since November 2021. The organization lists Mylan Watson-shaw, Licensed Chemical Dependency, as its authorized official.

NPPES Registry Identity

NPI1750046074
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameKSA ADDICTION TREATMENT LLC
Location Address132 HILLSIDE LNDesoto, TX 75115-5910
Mailing Address132 Hillside LnDesoto, TX 75115-5910 · (469) 321-1346
Phone(469) 321-1346
Organization SubpartNo
Authorized OfficialMylan Watson-shawLicensed Chemical Dependency · (469) 321-1346
Enumeration DateNovember 2, 2021
Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1750046074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
132 HILLSIDE LN, Desoto, TX 75115
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Other Names 1

Doing Business AsLcdc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Ksa Addiction Treatment LLC's NPI number?

The NPI number for Ksa Addiction Treatment LLC is 1750046074. It was assigned to this organization in the NPPES registry on November 2, 2021. The provider is doing business as Lcdc.

Where is Ksa Addiction Treatment LLC located?

Ksa Addiction Treatment LLC is located at 132 Hillside Ln, Desoto, TX 75115. The listed phone number is (469) 321-1346.

What is Ksa Addiction Treatment LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ksa Addiction Treatment LLC was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.