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NPI Code Detail

MEDICARE: KIMONE WILLIAMS LMHC

MEDICARE: KIMONE WILLIAMS LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor015885NY

General Provider Information

NPI Number : 1023963535
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMONE WILLIAMS LMHC
Provider Business Mailing Address
First Line : 37 BALDWIN PL APT 2
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-6008
Country : US
Telephone Number : 973-715-1033
Fax Number :
Provider Business Practice Location Address
First Line : 4332 22ND ST STE 203
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-5077
Country : US
Telephone Number : 347-426-6072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ KIMONE WILLIAMS LMHC” Practice Location

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