Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly Lynn Cheatham, PHD, LPC-S

Individual provider Professional Counselor · NPI 1609183094

Dr. Kelly Lynn Cheatham, PHD, LPC-S is a Professional Counselor in Southlake, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2535 E Southlake Blvd Ste 220
Southlake, TX 76092-6629
Phone: (817) 228-1668
Fax: (469) 776-0669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 65475 (TX)

Record details

NPI number1609183094
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LPC-S
Sole proprietorYes
NPI enumeratedSeptember 7, 2010
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

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