Healthcare Provider Details

I. General information

NPI: 1518540160
Provider Name (Legal Business Name): KIMBERLY DAVIS MCLEOD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIMBERLY DAVIS BARRON

II. Dates (important events)

Enumeration Date: 05/02/2021
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 ELBA HWY
TROY AL
36079-6039
US

IV. Provider business mailing address

1305 ELBA HWY
TROY AL
36079-6039
US

V. Phone/Fax

Practice location:
  • Phone: 334-770-1423
  • Fax: 334-770-1424
Mailing address:
  • Phone: 334-443-1423
  • Fax: 334-770-1424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05018
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: