Individual
MIRANDA KAY LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4077 JEFFERSON AVE, TEXARKANA, AR 71854-1509
(870) 330-9200
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1503045
AR
101YM0800X
Mental Health Counselor
Primary
P1802018
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/03/2007
Last updated
08/29/2024
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