Healthcare Provider Details

I. General information

NPI: 1467611038
Provider Name (Legal Business Name): KATHERINE KIMBLERY HIGHT M.ED., LPC, NBCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2008
Last Update Date: 06/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6802 BUFFALO SPEEDWAY ST VINCENT DE PAUL SCHOOL
HOUSTON TX
77025-1405
US

IV. Provider business mailing address

6802 BUFFALO SPEEDWAY ST VINCENT DE PAUL SCHOOL
HOUSTON TX
77025-1405
US

V. Phone/Fax

Practice location:
  • Phone: 713-663-3553
  • Fax:
Mailing address:
  • Phone: 713-663-3553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number3128
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: