Healthcare Provider Details

I. General information

NPI: 1639672132
Provider Name (Legal Business Name): KIMBERLEE ANNE PARMER LPC , LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2018
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6673 OLD MILL CREEK RD
BRENHAM TX
77833-2031
US

IV. Provider business mailing address

6673 OLD MILL CREEK RD
BRENHAM TX
77833-2031
US

V. Phone/Fax

Practice location:
  • Phone: 281-924-1876
  • Fax:
Mailing address:
  • Phone: 281-924-1876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number75192
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number234433
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number914
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: