Healthcare Provider Details

I. General information

NPI: 1487731568
Provider Name (Legal Business Name): KIRK VANLANINGHAM LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14005 MCNEIL RD STE 101
MC NEIL TX
78651-9800
US

IV. Provider business mailing address

PO BOX 101
MC NEIL TX
78651-0101
US

V. Phone/Fax

Practice location:
  • Phone: 512-289-1002
  • Fax: 512-292-1144
Mailing address:
  • Phone: 512-289-1002
  • Fax: 512-292-1144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number13158
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: