Healthcare Provider Details

I. General information

NPI: 1407785447
Provider Name (Legal Business Name): KIM COLE-WOOD PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31761 VILLAGE SCHOOL RD
WESTLAKE VILLAGE CA
91361-4502
US

IV. Provider business mailing address

2965 WINDING LN
WESTLAKE VILLAGE CA
91361-3212
US

V. Phone/Fax

Practice location:
  • Phone: 818-889-1450
  • Fax:
Mailing address:
  • Phone: 805-208-9902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: