Provider Demographics
NPI:1427655646
Name:HEALER, KRISTIN ALLISON (LPC)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:ALLISON
Last Name:HEALER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:KRISTIN
Other - Middle Name:ALLISON
Other - Last Name:TINKLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5614 ARBOR VALLEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016
Mailing Address - Country:US
Mailing Address - Phone:682-365-2845
Mailing Address - Fax:
Practice Address - Street 1:5614 ARBOR VALLEY DRIVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016
Practice Address - Country:US
Practice Address - Phone:682-365-2845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80416101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty