MEDICARE: KIRA ANLYN THURSTON

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	101YP2500X	Professional Counselor	93704	TX

General Provider Information

NPI Number	:	1497482897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRA ANLYN THURSTON

Provider Business Mailing Address
First Line	:	2200 N A W GRIMES BLVD STE 600
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-2745
Country	:	US
Telephone Number	:	512-655-3104
Fax Number	:	833-955-3628

Provider Business Practice Location Address
First Line	:	2200 N A W GRIMES BLVD STE 600
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-2745
Country	:	US
Telephone Number	:	512-655-3104
Fax Number	:	833-955-3628

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

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	12/09/2025

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Directions to “ KIRA ANLYN THURSTON ” Practice Location

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