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NPI Code Detail

MEDICARE: KAYLIE LOOSE LPC

MEDICARE: KAYLIE LOOSE LPC
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
1101Y00000XCounselor92234TX

General Provider Information

NPI Number : 1114877321
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLIE LOOSE LPC
Provider Business Mailing Address
First Line : 3936 HATHERLY DR
Second Line :
City : PLANO
State : TX
Zip : 75023-5031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3936 HATHERLY DR
Second Line :
City : PLANO
State : TX
Zip : 75023-5031
Country : US
Telephone Number : 972-679-2248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ KAYLIE LOOSE LPC” Practice Location

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