MS. KIMBERLY RENEE' FORD LCMHC LPC LCAS-A NPI 1881010635

NPI Information

NPI: 1881010635
Provider Name: MS. KIMBERLY RENEE' FORD, LCMHC, LPC, LCAS-A
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 718-3550
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MS. Kimberly Renee' Ford, LCMHC, LPC, LCAS-A is a mental health counselor in Winston Salem, NC. MS. Kimberly Renee' Ford, LCMHC, LPC, LCAS-A NPI is 1881010635. 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:

175 KIMEL PARK DR STE 100
WINSTON SALEM, NC
ZIP 27103-951
Phone: (336) 718-3550
Fax: (336) 277-1825

The enumeration date for this NPI number is 3/17/2014 and was last updated on 4/19/2024.

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	101YM0800X	Counselor	Mental Health	9273	NORTH CAROLINA	Yes
2	101YP2500X	Counselor	Professional	9273	NORTH CAROLINA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	3547	NORTH CAROLINA	No

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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