Provider Demographics
NPI:1942425640
Name:HARGROVE, KYLE BEN (LPC)
Entity Type:Individual
Prefix:MR
First Name:KYLE
Middle Name:BEN
Last Name:HARGROVE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6729 N PARK DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-2667
Mailing Address - Country:US
Mailing Address - Phone:817-475-3708
Mailing Address - Fax:817-812-2876
Practice Address - Street 1:6729 N PARK DR
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-2667
Practice Address - Country:US
Practice Address - Phone:817-475-3708
Practice Address - Fax:817-812-2876
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13701101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist