Individual provider · Type 1 NPI

Kylie Izienicki, LPC-ASSOCIATE 100532

Professional Counselor · Fort Worth, TX

NPI number 1831890433 Active

Practice location

4545 Bellaire Dr S Ste 6
Fort Worth, TX 76109-1811

Call (817) 657-1115 Map

Mailing address

1206 Logie Ln
Fort Worth, TX 76134-5479

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X100532 (TX)

Professional Counselor: Definition to come...

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About NPI 1831890433

Kylie Izienicki, LPC-ASSOCIATE 100532's National Provider Identifier is 1831890433, issued on Mar 13, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 13, 2026.