Individual provider · Type 1 NPI

Kimberly A. Staten, LPC-ASSOCIATE

Mental Health Counselor · Fort Worth, TX

NPI number 1356254148 Active

Practice location

3210 Miller Ave
Fort Worth, TX 76119-1948

Call (817) 531-5605 Map

Mailing address

PO Box 462
Mansfield, TX 76063-0079

Other practice locations

  • 201 E Debbie Ln, Mansfield, TX 76063-2924 · (817) 914-3251

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X96971 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1356254148

Kimberly A. Staten, LPC-ASSOCIATE's National Provider Identifier is 1356254148, issued on Sep 23, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 23, 2026.