MS. KIMBERLY ANTOINETTE CULLEY LPC NPI 1306311279

NPI Information

NPI: 1306311279
Provider Name: MS. KIMBERLY ANTOINETTE CULLEY, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1513 LAKELAND DR STE 200
JACKSON, MS
ZIP 39216
Phone: (769) 777-1000
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MS. Kimberly Antoinette Culley, LPC is a professional counselor in Jackson, MS. MS. Kimberly Antoinette Culley, LPC NPI is 1306311279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1513 LAKELAND DR STE 200
JACKSON, MS
ZIP 39216-861
Phone: (769) 777-1000
Fax: (769) 230-2864

The enumeration date for this NPI number is 10/8/2018 and was last updated on 10/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2271	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2271	OTHER		PRACTITIONER SUBMISSION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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