Kinetics and Neuro Consultants of Texas, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

KINETICS AND NEURO CONSULTANTS OF TEXAS, LLC

Practice address

810 Heritage Pkwy S
Allen, TX 75002-5754

Phone

(817) 832-6972

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Maya Michelle Graham

Title

Owner

Phone

(817) 832-6972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1992186944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HERITAGE PKWY S",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750025754",
            "telephone_number": "817-832-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HERITAGE PKWY S",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750025754",
            "telephone_number": "817-832-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETICS AND NEURO CONSULTANTS OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-832-6972",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Kirby, LPC, LMHC

• Contractor in Allen, TX
• Providers in Allen, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.