KIRBY SANDLIN


Address: 1219 S Lamar Blvd Apt 619, Austin, TX 78704-2183
Phone: 3376546634

KIRBY SANDLIN (NPI# 1376936658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376936658
Entity Type Organization
Organization Name KIRBY SANDLIN
Practice Address 1219 S Lamar Blvd Apt 619
Austin
TX 78704-2183
Practice Telephone 3376546634
Mailing Telephone 3376546634
Enumeration Date 2015-03-11
Last Update Date 2015-03-11
Authorized Official Name KIRBY SANDLIN (OWNER)
Authorized Official Telephone 3376546634
Authorized Official Credential LPC, LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
201550 TX Ambulatory Health Care Facilities
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
66357 TX Ambulatory Health Care Facilities

Office Location

Street Address 1219 S LAMAR BLVD APT 619
City AUSTIN
State TX
Zip Code 78704-2183

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NPI Name Taxonomy Address Enumeration
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1447896071 Stefanie Van Hoose Mott Nurse Practitioner 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 2019-11-19
1902463219 Melanie Rabalais Lpc, Pllc Counselor 3111 Dickson Dr, Suite 33, Austin, TX 78704 2019-05-22
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1750875118 Kristen Gabrielle Ferrante Dentist 2330 S Lamar Blvd, Austin, TX 78704 2018-06-19
1366944555 Beryl Hoelscher Registered Nurse 706 W Ben White Blvd Ste 233a, Austin, TX 78704 2018-03-02
1780103861 Remedy Pediatrics Pllc Pediatrics 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 2017-09-11
1285176172 Leah Nichole Burandt Physician Assistant 2512 S Interstate 35 Ste 310, Austin, TX 78704 2016-11-09
1659822690 Kristin Jarrett Physical Therapist 1524 S I-35, Suite 300, Austin, TX 78704 2016-10-14
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1942807250 Chart Counseling Services Pllc Clinic/Center 3900 S Stonebridge Dr Ste 203, Mckinney, TX 75070-8023 2020-10-08
1114548831 Integral Counseling and Wellness, LLC Clinic/Center 1846 Lockhill Selma Rd Ste 104, San Antonio, TX 78213-1551 2020-05-05
1679100986 Sarah Douglas Cox, Lcsw Pllc Clinic/Center 9922 Caleb Way, Missouri City, TX 77459-6472 2020-03-25
1366080962 Eating Recovery Center of Texas, LLC Clinic/Center 5120 Legacy Dr, Plano, TX 75024 2019-12-13
1326681354 Evolving Mind Solutions, LLC Clinic/Center 4200 S Hulen St Ste 668, Fort Worth, TX 76109-4997 2019-10-22
1790335271 Therathrive LLC Clinic/Center 601 Strada Cir Ste 102, Mansfield, TX 76063-3219 2019-09-16
1932754363 Proactive Behavior & Solutions Clinic/Center 2626 Scenic Point, Arlington, TX 76006 2019-08-02
1073175576 Remuda Ranch Counseling Services Clinic/Center 10333 Remuda View Dr, San Antonio, TX 78254-1759 2019-07-03
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Competitor

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City AUSTIN
Zip Code 78704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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