Organization
THERLIVELY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA KIRBY PSYD (CLINICAL PSYCHOLOGIST)
(817) 381-5259
Entity
Organization
Contact information
Practice address
1340 N WHITE CHAPEL BLVD STE 130, SOUTHLAKE, TX 76092-4327
(817) 381-5259
Mailing address
1340 N WHITE CHAPEL BLVD STE 130, SOUTHLAKE, TX 76092-4327
(817) 381-5259
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/03/2024
Last updated
01/16/2024
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