Healthcare Provider Details

I. General information

NPI: 1093695918
Provider Name (Legal Business Name): KIMBERLY ALLEN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 S RANGE AVE
DENHAM SPRINGS LA
70726-4806
US

IV. Provider business mailing address

25041 SPILLERS RANCH RD
DENHAM SPRINGS LA
70726-6840
US

V. Phone/Fax

Practice location:
  • Phone: 225-788-0988
  • Fax:
Mailing address:
  • Phone: 225-788-0988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ALLEN
Title or Position: OWNER
Credential: LPC-S, LMFT, NCSC
Phone: 225-788-0988