Provider Demographics
NPI:1215593181
Name:KITCHENS, KRISTEN C (LCSW-S)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:C
Last Name:KITCHENS
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:R
Other - Last Name:COTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1405 PINE HILL DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1238
Mailing Address - Country:US
Mailing Address - Phone:512-203-3242
Mailing Address - Fax:
Practice Address - Street 1:1405 PINE HILL DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1238
Practice Address - Country:US
Practice Address - Phone:512-203-3242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-15
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX579521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical