MEDICARE: ANNA SOOJIN KIM MS, LMFT, LCDC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	13366	TX
2	106H00000X	Marriage & Family Therapist	202558	TX

General Provider Information

NPI Number	:	1316537236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA SOOJIN KIM MS, LMFT, LCDC

Provider Business Mailing Address
First Line	:	PO BOX 411203
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75241-8203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3124 ALTA MESA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75241-5801
Country	:	US
Telephone Number	:	802-438-3518
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2021
Last Update Date	:	02/23/2021

Similar Medicare Providers

1497720353 — THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Practice Location Address:

5801 FOREST PARK RD
DALLAS, TX
75390-9183

Practice Phone: 214-645-0624
Practice Fax: 214-645-0078

1386715456 — DR. DONNA JACKSON BAREFIELD D.D.S., M.S.D.
Practice Location Address:

5801 MARVIN D LOVE FWY , SUITE #400
DALLAS, TX
75237-2388

Practice Phone: 214-339-5150
Practice Fax: 214-339-5151

1013088673 — FAITH CHIROPRACTIC CLINIC PLLC
Practice Location Address:

5801 M D LOVE FRWY , SUITE 305
DALLAS, TX
75237

Practice Phone: 214-330-9596
Practice Fax: 214-330-9588

1063697209 — DR. JERRI JOHNSON D.C.
Practice Location Address:

5801 M D LOVE FWY , SUITE 305
DALLAS, TX
75237-2318

Practice Phone: 214-330-9596
Practice Fax: 214-330-9588

1689843377 — DR. JANET RAMLAL DDS
Practice Location Address:

5801 MARVIN D LOVE FWY , STE 400
DALLAS, TX
75237-2388

Practice Phone: 214-339-5150
Practice Fax:

1205168887 — PUNEETH IYENGAR M.D., PH.D
Practice Location Address:

5801 FOREST PARK ROAD
DALLAS, TX
75390-9183

Practice Phone: 646-408-3485
Practice Fax:

Directions to “ ANNA SOOJIN KIM MS, LMFT, LCDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.