Provider Demographics
NPI:1023668761
Name:HANSLEY-PARRISH, KIMBERLY STAR (LPC)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:STAR
Last Name:HANSLEY-PARRISH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 FRANKFORD RD STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-5329
Mailing Address - Country:US
Mailing Address - Phone:214-390-3259
Mailing Address - Fax:
Practice Address - Street 1:4801 FRANKFORD RD STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-5329
Practice Address - Country:US
Practice Address - Phone:214-390-3259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-15
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81248101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health