Healthcare Provider Details

I. General information

NPI: 1245158526
Provider Name (Legal Business Name): KASSIE HITCHCOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 US HWY 377 STE 202
ARGYLE TX
76226-3923
US

IV. Provider business mailing address

415 HIGHWAY 377 S STE 202
ARGYLE TX
76226-5140
US

V. Phone/Fax

Practice location:
  • Phone: 817-791-7144
  • Fax:
Mailing address:
  • Phone: 817-791-7144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number94307
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: