# HEART AND SOUL COUNSELING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679083570
- **Authorized official:** KIM SULLIVAN MA, LPC, RPT, NCC (SOLE OWNER)
- **Authorized official phone:** (929) 352-7529

## Contact information

- **Practice address:** 10A CHISHOLM TRL, ROUND ROCK, TX 78681
- **Practice address phone:** (929) 352-7529
- **Practice address fax:** (737) 443-6081
- **Mailing address:** 10A CHISHOLM TRL, ROUND ROCK, TX 78681-5043
- **Mailing address phone:** (929) 352-7529
- **Mailing address fax:** (737) 443-6081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 09/24/2024
