Lively, Kathleen Dianne

Lively, Kathleen Dianne is an sole proprietor health care provider with primary practice located at 1112 E Copeland Rd Suite 310, Arlington TX 76011-4910. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Lively, Kathleen Dianne can be contacted via phone (817) 522-5052.

Contact Information

Primary practice address
1112 E Copeland Rd Suite 310 Arlington TX 76011-4910
Phone: (817) 522-5052
Fax: (817) 277-5610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 34234 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X D03635A Texas

Profile Details

NPI number 1407221633
LBN Legal business name Lively, Kathleen Dianne
Credentials LMSW-AP, LCPPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2015
Last updated Dec 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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