Healthcare Provider Details

I. General information

NPI: 1891854287
Provider Name (Legal Business Name): KIMBERLY A. SILBOR LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 COBB ST
CADILLAC MI
49601-2540
US

IV. Provider business mailing address

527 COBB ST
CADILLAC MI
49601-2540
US

V. Phone/Fax

Practice location:
  • Phone: 231-876-3303
  • Fax: 231-775-1692
Mailing address:
  • Phone: 231-876-3303
  • Fax: 231-775-1692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6049
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401010840
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: