Provider Demographics
NPI:1194495135
Name:KP BEHAVIORAL LLC
Entity type:Organization
Organization Name:KP BEHAVIORAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, NP
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SOLIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:NP, DNP
Authorized Official - Phone:972-740-4808
Mailing Address - Street 1:12700 HILLCREST RD STE 251
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7134
Mailing Address - Country:US
Mailing Address - Phone:972-740-4808
Mailing Address - Fax:949-862-3770
Practice Address - Street 1:12700 HILLCREST RD STE 251
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-7134
Practice Address - Country:US
Practice Address - Phone:903-388-8182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty