MEDICARE: MR. KYLE BEN HARGROVE 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	101YM0800X	Mental Health Counselor	13701	TX
2	106H00000X	Marriage & Family Therapist	13701	TX

General Provider Information

NPI Number	:	1942425640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KYLE BEN HARGROVE LPC

Provider Business Mailing Address
First Line	:	6729 N PARK DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-2667
Country	:	US
Telephone Number	:	817-475-3708
Fax Number	:	817-812-2876

Provider Business Practice Location Address
First Line	:	6729 N PARK DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-2667
Country	:	US
Telephone Number	:	817-475-3708
Fax Number	:	817-812-2876

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	09/11/2025

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