Provider Demographics
NPI:1629268164
Name:LITTLE, IRENE D (LMFT-S,LCDC, CCC-SLP)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:D
Last Name:LITTLE
Suffix:
Gender:F
Credentials:LMFT-S,LCDC, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4280 MAIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-3082
Mailing Address - Country:US
Mailing Address - Phone:972-905-6574
Mailing Address - Fax:
Practice Address - Street 1:4280 MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-3082
Practice Address - Country:US
Practice Address - Phone:972-905-6574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7923101YA0400X
TX103870235Z00000X
TX202928106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist