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THERLIVELY NPI 1063282929


NPI Information

NPI: 1063282929
Provider Name: THERLIVELY
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1340 N WHITE CHAPEL BLVD STE 130
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 381-5259
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THERLIVELY is a clinical psychologist in Southlake, TX. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. THERLIVELY NPI is 1063282929. The provider is registered as an organization entity type.

The provider's business location address is:

1340 N WHITE CHAPEL BLVD STE 130
SOUTHLAKE, TX
ZIP 76092-327
Phone: (817) 381-5259

The provider's authorized official is Andrea Kirby .
The authorized official title is Clinical Psychologist and has the following contact phone number (817) 381-5259.

The enumeration date for this NPI number is 1/3/2024 and was last updated on 1/16/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.