Healthcare Provider Details

I. General information

NPI: 1063678084
Provider Name (Legal Business Name): EMILY KIRBY LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 S JUPITER RD STE 200
ALLEN TX
75002-3051
US

IV. Provider business mailing address

307 S JUPITER RD STE 200
ALLEN TX
75002-3051
US

V. Phone/Fax

Practice location:
  • Phone: 469-429-0588
  • Fax:
Mailing address:
  • Phone: 469-429-0588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3497
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number68577
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: