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General NPI Number Information
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NPI Number | 1558951541
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Entity Type | Organization
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Legal Business Name | KIM LIBBY COUNSELING PLLC
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Dates
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Enumeration Date | 01/22/2021
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 7703 N LAMAR BLVD STE 340
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City | AUSTIN
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State | TX
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Zip | 78752-1061
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Country | US
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Telephone | 512-850-4986
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Fax |
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Provider Business Mailing Address
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Address Line | 6500 MENCHACA RD UNIT 714
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City | AUSTIN
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State | TX
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Zip | 78745-5006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY MICHELLE LIBBY
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Credential | LPC
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Telephone | 512-850-4986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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