DR. KELLY RENEE ZIMMERMAN AADCP-IP NPI 1609215227

NPI Information

NPI: 1609215227
Provider Name: DR. KELLY RENEE ZIMMERMAN, AADCP-IP
Classification: Religious Nonmedical Practitioner - 374K00000X
Entity Type: Individual
Address:
706 WAXWING CT
BOILING SPRINGS, SC
ZIP 29316
Phone: (864) 541-2755
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DR. Kelly Renee Zimmerman, AADCP-IP is a religious nonmedical practitioner in Boiling Springs, SC. The provider is a religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence. DR. Kelly Renee Zimmerman, AADCP-IP NPI is 1609215227. 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:

706 WAXWING CT
BOILING SPRINGS, SC
ZIP 29316-379
Phone: (864) 541-2755

The enumeration date for this NPI number is 6/17/2013 and was last updated on 10/18/2023.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	374K00000X	Religious Nonmedical Practitioner		Yes

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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