| Doctor Name: | EMILY KIRBY |
| NPI Number: | 1063678084 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LMHC |
| License Number: | 3497 |
| Business Practice Address: | 1400 Ne Jensen Beach Blvd Jensen Beach, FL - 349577226 |
| Business Phone Number: | 9852647204 |
| Business Fax Number: | 7723342203 |
| Mailing Address: | 1908 Nw Waterwillow Way, JENSEN BEACH |
| State: | FL |
| Postal Code: | 349573562 |
| Phone Number: | 9852647204 |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2008 |
| NPI Last Update Date: | 09/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3497 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |