Healthcare Provider Details

I. General information

NPI: 1548183189
Provider Name (Legal Business Name): KRISTIN M ARTERBURY LPC ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3312 HILLCREST DR
WACO TX
76708-3118
US

IV. Provider business mailing address

13006 RAINIER DR
WOODWAY TX
76712-7706
US

V. Phone/Fax

Practice location:
  • Phone: 254-752-9330
  • Fax:
Mailing address:
  • Phone: 254-495-9532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number95415
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: