# KIMBERLY CAPSTRAW, LMFT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497144356
- **Authorized official:** MRS. KIMBERLY WESTBROOK CAPSTRAW LMFT (OWNER/ MARRIAGE AND FAMILY THERAPIS)
- **Authorized official phone:** (407) 227-9245

## Contact information

- **Practice address:** 115 E 4TH AVE STE 206, MOUNT DORA, FL 32757-5550
- **Practice address phone:** (407) 227-9245
- **Practice address fax:** (352) 735-1551
- **Mailing address:** 27198 WOODHOLLOW RD, MOUNT DORA, FL 32757-9615
- **Mailing address phone:** (407) 227-9245
- **Mailing address fax:** (352) 735-1551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2015
- **Last updated:** 01/15/2015