MEDICARE: MRS. KIMBERLY ANN HERRING MA, LPA, LPC

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	101YP2500X	Professional Counselor	4067 LPC	NC
2	103TC1900X	Counseling Psychologist	1769	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	13235	OTHER	NC	BUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1811087919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY ANN HERRING MA, LPA, LPC

Provider Business Mailing Address
First Line	:	3411 BRUSHY HILL RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-5662
Country	:	US
Telephone Number	:	910-426-6920
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 ARSENAL AVE STE 202E
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28305-5398
Country	:	US
Telephone Number	:	910-323-3368
Fax Number	:	910-486-7000

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/17/2014

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Directions to “ MRS. KIMBERLY ANN HERRING MA, LPA, LPC” Practice Location

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