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Organization
KIMBERLY YUDT, LICENSED CLINICAL SOCIAL WORKER CORP.
Active
Organization
KIMBERLY YUDT, LICENSED CLINICAL SOCIAL WORKER CORP.
Active
Other names
KELTA Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JOANNE YUDT LCSW (CEO, FOUNDER)
(310) 882-8297
Entity
Organization
Contact information
Practice address
660 HAMPSHIRE RD STE 108, WESTLAKE VILLAGE, CA 91361-2554
(805) 497-0605
Mailing address
650 HAMPSHIRE RD STE 200, WESTLAKE VILLAGE, CA 91361-2540
(805) 601-6700
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417429952
KIMBERLY YUDT, LCSW
CA
Enumeration date
05/23/2021
Last updated
05/23/2021
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