MEDICARE: KK COUNSELING SERVICES PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1679357024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KK COUNSELING SERVICES PLLC

Provider Business Mailing Address
First Line	:	5519 TIMBER GREEN DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-3369
Country	:	US
Telephone Number	:	817-845-8828
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 TANDY AVE
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76103-2552
Country	:	US
Telephone Number	:	817-535-1253
Fax Number	:	817-536-0177

Authorized Official
Title or Position	:	OWNER
Name	:	KAREN SASSER
Credential	:	LCSW
Telephone Number	:	817-845-8828

Provider Enumeration Date	:	08/24/2023
Last Update Date	:	08/24/2023

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