MISS KIMBERLY ANN DOUGLAS LPC NPI 1932406659

NPI Information

NPI: 1932406659
Provider Name: MISS KIMBERLY ANN DOUGLAS, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
707 W MILWAUKEE ST
DETROIT, MI
ZIP 48202
Phone: (313) 833-2500
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MISS Kimberly Ann Douglas, LPC is a mental health counselor in Detroit, MI. MISS Kimberly Ann Douglas, LPC NPI is 1932406659. 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:

707 W MILWAUKEE ST
DETROIT, MI
ZIP 48202-943
Phone: (313) 833-2500

The enumeration date for this NPI number is 2/15/2011 and was last updated on 10/20/2021.

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 State	Primary
1	101Y00000X	Counselor		MICHIGAN	No
2	101YP1600X	Counselor	Pastoral	MICHIGAN	No
3	101YP2500X	Counselor	Professional	MICHIGAN	No
4	101YM0800X	Counselor	Mental Health	MICHIGAN	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: 11/14/2023

NPI Synchronization or Removal

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