Healthcare Provider Details

I. General information

NPI: 1487561221
Provider Name (Legal Business Name): KIMBERLY CARDEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5676 COUNTY ROAD 82
WEDOWEE AL
36278-3810
US

IV. Provider business mailing address

416 KIOWA RD
REMLAP AL
35133-4816
US

V. Phone/Fax

Practice location:
  • Phone: 205-308-9642
  • Fax: 334-249-2143
Mailing address:
  • Phone: 334-338-5143
  • Fax: 334-249-2143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY DELAINE CARDEN
Title or Position: OWNER
Credential: LICSW-PIP
Phone: 334-338-5143