MEDICARE: KIMBERLY MICHELLE BOUNDS

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	1041C0700X	Clinical Social Worker	CSW009959	GA

General Provider Information

NPI Number	:	1609725514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY MICHELLE BOUNDS

Provider Business Mailing Address
First Line	:	3372 PEACHTREE RD NE STE 115
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-1963
Country	:	US
Telephone Number	:	912-980-6494
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 ELLIE LN
Second Line	:
City	:	HINESVILLE
State	:	GA
Zip	:	31313-6010
Country	:	US
Telephone Number	:	912-980-6494
Fax Number	:

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

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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Directions to “ KIMBERLY MICHELLE BOUNDS ” Practice Location

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