MEDICARE: KIMBERLY MCKINNEY RATE MA, LPC-MHSP, NCC

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	171M00000X	Case Manager/Care Coordinator
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1851731632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY MCKINNEY RATE MA, LPC-MHSP, NCC

Provider Business Mailing Address
First Line	:	1224B COLUMBIA AVE STE 100
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-3663
Country	:	US
Telephone Number	:	615-236-6365
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224B COLUMBIA AVE STE 100
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-3663
Country	:	US
Telephone Number	:	615-236-6365
Fax Number	:	615-334-8586

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

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	11/16/2018

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