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NPI Code Detail

MEDICARE: KIMBERLY COLE LPC, LCDC

MEDICARE:   KIMBERLY  COLE  LPC, LCDC
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
1101YM0800XMental Health Counselor96914TX

General Provider Information

NPI Number : 1043142789
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY COLE LPC, LCDC
Provider Business Mailing Address
First Line : 642 CINDY LN
Second Line :
City : WYLIE
State : TX
Zip : 75098-6835
Country : US
Telephone Number : 214-325-4920
Fax Number :
Provider Business Practice Location Address
First Line : 1515 HERITAGE DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-3256
Country : US
Telephone Number : 469-631-2896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ KIMBERLY COLE LPC, LCDC” Practice Location

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