Provider Demographics
NPI:1871286633
Name:LETTER, EMERY GRACE (MS)
Entity type:Individual
Prefix:
First Name:EMERY
Middle Name:GRACE
Last Name:LETTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 OAK LAWN AVE STE 580
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-6723
Mailing Address - Country:US
Mailing Address - Phone:214-305-2110
Mailing Address - Fax:
Practice Address - Street 1:3500 OAK LAWN AVE STE 580
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-6723
Practice Address - Country:US
Practice Address - Phone:214-305-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-30
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91879101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health