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MRS. KIMBERLY RUTH MATTINGLY-CLOER NPI 1053040048


NPI Information

NPI: 1053040048
Provider Name: MRS. KIMBERLY RUTH MATTINGLY-CLOER
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1812 DAVIE AVE
STATESVILLE, NC
ZIP 28677
Phone: (704) 450-8277
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MRS. Kimberly Ruth Mattingly-cloer is a counselor in Statesville, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Kimberly Ruth Mattingly-cloer NPI is 1053040048. 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:

1812 DAVIE AVE
STATESVILLE, NC
ZIP 28677-524
Phone: (704) 450-8277

The enumeration date for this NPI number is 6/7/2022 and was last updated on 6/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorC014138NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101OTHERPRIVATE PAY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.