Provider Demographics
NPI:1801488481
Name:NORRED, KALLIE DAWN (LPC)
Entity type:Individual
Prefix:MRS
First Name:KALLIE
Middle Name:DAWN
Last Name:NORRED
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 1:2681 MACARTHUR BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8260
Mailing Address - Country:US
Mailing Address - Phone:512-850-7729
Mailing Address - Fax:
Practice Address - Street 1:2681 MACARTHUR BLVD STE 302
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8260
Practice Address - Country:US
Practice Address - Phone:469-702-1342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85201101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional