MEDICARE: KIMBERLY V PARA 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	101YP2500X	Professional Counselor	75827	TX

General Provider Information

NPI Number	:	1942786769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY V PARA LPC

Provider Business Mailing Address
First Line	:	5815 MONTICELLO AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-6122
Country	:	US
Telephone Number	:	817-917-2509
Fax Number	:

Provider Business Practice Location Address
First Line	:	5209 HERITAGE AVE STE 210
Second Line	:
City	:	COLLEYVILLE
State	:	TX
Zip	:	76034-5997
Country	:	US
Telephone Number	:	817-545-7100
Fax Number	:

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

Provider Enumeration Date	:	07/15/2018
Last Update Date	:	03/03/2026

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Directions to “ KIMBERLY V PARA LPC” Practice Location

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