# KIMILA DEFLANDERS LCSW LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1588217699
- **Authorized official:** MRS. KIMILA DEFLANDERS LCSW (OWNER/THERAPIST)
- **Authorized official phone:** (601) 557-2185

## Contact information

- **Practice address:** 1390 29TH AVE STE B, GULFPORT, MS 39501-1945
- **Practice address phone:** (601) 557-2185
- **Practice address fax:** (228) 220-4303
- **Mailing address:** PO BOX 8024, BILOXI, MS 39535-8024
- **Mailing address phone:** (601) 557-2185
- **Mailing address fax:** (228) 220-4303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2019
- **Last updated:** 05/23/2022