MEDICARE: KIANDRA HARRY 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
1	171M00000X	Case Manager/Care Coordinator
2	101YP2500X	Professional Counselor	90388	TX

General Provider Information

NPI Number	:	1619444346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIANDRA HARRY LPC

Provider Business Mailing Address
First Line	:	4364 WESTERN CENTER BLVD
Second Line	:	POB 2047
City	:	FORT WORTH
State	:	TX
Zip	:	76137
Country	:	US
Telephone Number	:	706-474-3424
Fax Number	:

Provider Business Practice Location Address
First Line	:	4364 WESTERN CENTER BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-2043
Country	:	US
Telephone Number	:	706-474-3424
Fax Number	:

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

Provider Enumeration Date	:	10/31/2018
Last Update Date	:	06/18/2024

Similar Medicare Providers

1568977783 — VELOCITY IOM, LLC
Practice Location Address:

4364 WESTERN CENTER BLVD # 207
FORT WORTH, TX
76137-2043

Practice Phone: 214-499-8330
Practice Fax: 817-887-1905

1750896973 — VELOCITY NEURO, LLC
Practice Location Address:

4364 WESTERN CENTER BLVD # 207
FORT WORTH, TX
76137-2043

Practice Phone: 214-499-8330
Practice Fax: 817-887-1905

1306968896 — METROPLEX MOBLIE DIAGNOSTICS
Practice Location Address:

4360 WESTERN CENTER BLVD PMB 175
FORT WORTH, TX
76137-2043

Practice Phone: 817-575-0113
Practice Fax: 817-581-2866

1235405770 — MR. DUSTIN MCHALFFEY CNIM
Practice Location Address:

4364 WESTERN CENTER BLVD # 207
FORT WORTH, TX
76137-2043

Practice Phone: 214-499-8330
Practice Fax: 817-887-1905

1972124972 — REGINA THOMAS
Practice Location Address:

4364 WESTERN CENTER BLVD # 139
FORT WORTH, TX
76137-2043

Practice Phone: 636-448-4449
Practice Fax:

1396460010 — DR. AMANDA DAWN KENNEDY DNP, PMHNP
Practice Location Address:

4364 WESTERN CENTER BLVD # 2221
FORT WORTH, TX
76137-2043

Practice Phone: 817-393-2061
Practice Fax: 817-393-2590

Directions to “ KIANDRA HARRY LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.