Provider Demographics
NPI:1831917731
Name:TRIMBLE, KENZIE DEANN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KENZIE
Middle Name:DEANN
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:KENZIE
Other - Middle Name:DEANN
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 S TAYLOR ST STE 600
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79101-2458
Mailing Address - Country:US
Mailing Address - Phone:806-316-5595
Mailing Address - Fax:
Practice Address - Street 1:500 S TAYLOR ST STE 600
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-2458
Practice Address - Country:US
Practice Address - Phone:806-316-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95626101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor