Provider Demographics
NPI:1720961964
Name:KECHAS ANGELS
Entity type:Organization
Organization Name:KECHAS ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKECHA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:945-300-3502
Mailing Address - Street 1:818 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-5341
Mailing Address - Country:US
Mailing Address - Phone:945-300-3502
Mailing Address - Fax:
Practice Address - Street 1:818 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-5341
Practice Address - Country:US
Practice Address - Phone:945-300-3502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty