Provider Demographics
NPI:1659542686
Name:KIRBY, JOSEPH G (LPC-S)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:G
Last Name:KIRBY
Suffix:
Gender:M
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:GUY
Mailing Address - State:AR
Mailing Address - Zip Code:72061-0352
Mailing Address - Country:US
Mailing Address - Phone:870-899-0884
Mailing Address - Fax:870-587-1514
Practice Address - Street 1:1813 EXECUTIVE SQ
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6086
Practice Address - Country:US
Practice Address - Phone:870-899-0884
Practice Address - Fax:870-587-1514
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1206074101YM0800X
ARA0812098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health