MEDICARE: HALLIE KLINE MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1003694274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLIE KLINE MS

Provider Business Mailing Address
First Line	:	3020 BROADMOOR LN STE 200
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3020 BROADMOOR LN STE 200
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2705
Country	:	US
Telephone Number	:	972-539-7373
Fax Number	:	469-645-2028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2023
Last Update Date	:	05/26/2026

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Directions to “ HALLIE KLINE MS” Practice Location

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