Healthcare Provider Details

I. General information

NPI: 1841109352
Provider Name (Legal Business Name): KRISTIN KLINE GARCIA MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2049 S BRENTWOOD BLVD
SPRINGFIELD MO
65804-2536
US

IV. Provider business mailing address

2049 S BRENTWOOD BLVD
SPRINGFIELD MO
65804-2536
US

V. Phone/Fax

Practice location:
  • Phone: 417-881-2444
  • Fax:
Mailing address:
  • Phone: 417-881-2444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026042459
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: