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NPI Code Detail

MEDICARE: KIMBERLY PIZARRO LMHC

MEDICARE:   KIMBERLY  PIZARRO  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 CounselorMH19877FL
2101YS0200XSchool CounselorMH19877FL

General Provider Information

NPI Number : 1477379444
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY PIZARRO LMHC
Provider Business Mailing Address
First Line : 47 5TH ST NW
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4672
Country : US
Telephone Number : 866-234-8534
Fax Number : 863-837-4441
Provider Business Practice Location Address
First Line : 903 LOWRY AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33801-7544
Country : US
Telephone Number : 866-234-8534
Fax Number : 863-845-1662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2024
Last Update Date : 12/02/2024

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Directions to “ KIMBERLY PIZARRO LMHC” Practice Location

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