Provider Demographics
NPI:1821686288
Name:KIRBY, CLAUDINE
Entity type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:
Last Name:KIRBY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2734 SUNRISE BLVD STE 309
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8709
Mailing Address - Country:US
Mailing Address - Phone:832-814-2236
Mailing Address - Fax:
Practice Address - Street 1:2734 SUNRISE BLVD STE 309
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8709
Practice Address - Country:US
Practice Address - Phone:832-814-2236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YM0800X
TX84944101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty