Provider Demographics
NPI:1215648696
Name:THROWER, KIALYN (LPC)
Entity type:Individual
Prefix:
First Name:KIALYN
Middle Name:
Last Name:THROWER
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 N HAMPTON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-8600
Mailing Address - Country:US
Mailing Address - Phone:318-918-8020
Mailing Address - Fax:
Practice Address - Street 1:1636 N HAMPTON RD STE 103
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8600
Practice Address - Country:US
Practice Address - Phone:318-918-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71750101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health