Organization
HEART AND SOUL COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SULLIVAN MA, LPC, RPT, NCC (SOLE OWNER)
(929) 352-7529
Entity
Organization
Contact information
Practice address
10A CHISHOLM TRL, ROUND ROCK, TX 78681
(929) 352-7529
(737) 443-6081
Mailing address
10A CHISHOLM TRL, ROUND ROCK, TX 78681-5043
(929) 352-7529
(737) 443-6081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-3803413
—
TX
Enumeration date
10/05/2017
Last updated
09/24/2024
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