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NPI Code Detail

MEDICARE: KIMBERLY RENAY MCKINNIE LPC

MEDICARE:   KIMBERLY RENAY MCKINNIE  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor92276TX

General Provider Information

NPI Number : 1477342269
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY RENAY MCKINNIE LPC
Provider Business Mailing Address
First Line : 13917 MALLARD SPRINGS DR
Second Line :
City : HASLET
State : TX
Zip : 76052-2858
Country : US
Telephone Number : 817-454-9792
Fax Number :
Provider Business Practice Location Address
First Line : 13917 MALLARD SPRINGS DR
Second Line :
City : HASLET
State : TX
Zip : 76052-2858
Country : US
Telephone Number : 817-454-9792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2025
Last Update Date : 12/01/2025

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Directions to “ KIMBERLY RENAY MCKINNIE LPC” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.