Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Therlively

Organization Clinical Psychologist · NPI 1063282929

Therlively is a Clinical Psychologist in Southlake, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1340 N White Chapel Blvd Ste 130
Southlake, TX 76092-4327
Phone: (817) 381-5259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1063282929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Kirby — Clinical Psychologist · (817) 381-5259
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address1340 N White Chapel Blvd Ste 130, Southlake, TX 76092-4327

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