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NPI Code Detail

MEDICARE: KIM HAYWARD COUNSELING

MEDICARE: KIM HAYWARD COUNSELING
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1538908272
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIM HAYWARD COUNSELING
Provider Business Mailing Address
First Line : 5464 HOLIDAY TER
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-2147
Country : US
Telephone Number : 269-220-0134
Fax Number :
Provider Business Practice Location Address
First Line : 5464 HOLIDAY TER
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-2147
Country : US
Telephone Number : 269-220-0134
Fax Number :
Authorized Official
Title or Position : COUNSELOR
Name : MRS. KIMBERLY JO HAYWARD
Credential : LPC
Telephone Number : 906-450-0100
Provider Enumeration Date : 05/22/2024
Last Update Date : 06/11/2024

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