Provider Demographics
NPI:1124514294
Name:NELSON-PARTEN, DEJAI (LMFT ASSOCIATE)
Entity type:Individual
Prefix:
First Name:DEJAI
Middle Name:
Last Name:NELSON-PARTEN
Suffix:
Gender:
Credentials:LMFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 MESA DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-3156
Mailing Address - Country:US
Mailing Address - Phone:254-213-3705
Mailing Address - Fax:254-230-1007
Practice Address - Street 1:4100 MESA DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-3156
Practice Address - Country:US
Practice Address - Phone:254-213-3705
Practice Address - Fax:254-230-1007
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205077106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist