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NPI Code Detail

MEDICARE: KIMBERLY HERRING LMHC

MEDICARE:   KIMBERLY  HERRING  LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH18712FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215520812
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY HERRING LMHC
Provider Business Mailing Address
First Line : 1001 N 12TH AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3306
Country : US
Telephone Number : 850-250-1441
Fax Number :
Provider Business Practice Location Address
First Line : 1001 N 12TH AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3306
Country : US
Telephone Number : 850-250-1441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2021
Last Update Date : 03/26/2021

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Directions to “ KIMBERLY HERRING LMHC” Practice Location

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