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General NPI Number Information
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NPI Number | 1003740465
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Entity Type | Organization
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Legal Business Name | KIM STORM COUNSELING, LLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 1500 N 19TH ST STE 12
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City | MONROE
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State | LA
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Zip | 71201-4942
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Country | US
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Telephone | 318-957-8095
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Fax |
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Provider Business Mailing Address
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Address Line | 612 BURGESSVILLE RD
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City | RUSTON
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State | LA
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Zip | 71270-5154
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Country | US
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Telephone | 318-537-4890
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Fax |
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Authorized Official
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Title or Position | MEMBER/AGENT
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Name | MS. KIMBERLY C STORM
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Credential | LPC-S
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Telephone | 318-537-4890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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