Healthcare Provider Details

I. General information

NPI: 1710215900
Provider Name (Legal Business Name): KIMBERLY SALSMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIMBERLY SALSMAN LMHC

II. Dates (important events)

Enumeration Date: 11/26/2009
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 S BLOOMINGTON ST
GREENCASTLE IN
46135-2212
US

IV. Provider business mailing address

1542 S BLOOMINGTON ST
GREENCASTLE IN
46135-2212
US

V. Phone/Fax

Practice location:
  • Phone: 765-301-7449
  • Fax:
Mailing address:
  • Phone: 765-301-7449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH11665
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39000454A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: