Provider Demographics
NPI:1932393485
Name:LABARDEE, KRISTY KAY (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:KAY
Last Name:LABARDEE
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 S FRIENDSWOOD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3989
Mailing Address - Country:US
Mailing Address - Phone:844-824-8775
Mailing Address - Fax:
Practice Address - Street 1:3000 POLAR LN STE 101
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3065
Practice Address - Country:US
Practice Address - Phone:512-201-4006
Practice Address - Fax:254-773-0919
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203183106H00000X
CAMFC 50005106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist