Survivors Studio PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SURVIVORS STUDIO PLLC

Practice address

1313 Southeast Pkwy
Azle, TX 76020-4024

Phone

(817) 415-0511

NPI assigned

Dec 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Kimbrough, M.A., LPCNPI 1174179683

Title

Owner/Counselor

Phone

(817) 415-0511

Specialties & licenses 1

Addresses

Other names 2

• Survivor Studio Doing business as
• Survivors Studio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Kimbrough, LPC

  • Mental Health Counselor
  • Haslet, TX
  • NPI 1174179683
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1760141378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 SOUTHEAST PKWY",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760204024",
            "telephone_number": "817-415-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 SOUTHEAST PKWY",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760204024",
            "telephone_number": "817-415-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURVIVORS STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "KIMBROUGH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "817-415-0511",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Survivor Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Survivors Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Stoy, LPC
• Strategic Medical Group TX PLLC
• Strategic Medical Group TX PLLC
• Strong Vision Care PC
• Jamie Sligar Strong, O.D.
• Robin Sustala, NP
• Lauryn Taylor
• Tracey Nickole Taylor
• Launi Patrina Teal
• Laura Beth Temple, RPH

• Community/Behavioral Health Agency in Azle, TX
• Providers in Azle, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.