MS. KIMBERLY SUE VANCE MASTER OF EDUCATION NPI 1538230123

NPI Information

NPI: 1538230123
Provider Name: MS. KIMBERLY SUE VANCE, MASTER OF EDUCATION
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
113 LINCOLN WAY EAST
MISHAWAKA, IN
ZIP 46544
Phone: (574) 255-4976
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MS. Kimberly Sue Vance, MASTER OF EDUCATION is a mental health counselor in Mishawaka, IN. MS. Kimberly Sue Vance, MASTER OF EDUCATION NPI is 1538230123. 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:

113 LINCOLN WAY EAST
MISHAWAKA, IN
ZIP 46544-016
Phone: (574) 255-4976
Fax: (574) 255-1882

The enumeration date for this NPI number is 11/13/2006 and was last updated on 1/19/2008.

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	101Y00000X	Counselor		39001136A	INDIANA	No
2	101YM0800X	Counselor	Mental Health	39001136A	INDIANA	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	7381710	OTHER	INDIANA	AETNA
2	000000341223	OTHER	INDIANA	ANTHEM

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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