| Organization Name: | KLS COUNSELING & CONSULTING SERVICES |
| NPI Number: | 1033514872 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBER SHELTON (OWNER) |
| Mailing Address: | 214 S Main St Suite 214 Duncanville |
| State: | TX US |
| Postal Code: | 751164700 |
| Phone Number: | 4694070381 |
| Fax Number: | 9725721069 |
| NPI Enumeration Date: | 10/22/2014 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 36677 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |